Ethan Kicker
- Medicare patients, 2024
- 41
- MIPS score, 2024
- 95
- Affiliated sites
- 2
- Medical groups
- 2
- State license
- 1
- Practice address
- 13801 St Francis Blvd, Midlothian, VA 23114
- Practice phone
- Call (800) 848-3555
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
American Specialty Physical Medicine, Inc.
Midlothian, Virginia
Find Ethan Kicker's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ethan Kicker is a physical therapist in Midlothian, Virginia
Ethan Kicker practices at American Specialty Physical Medicine, Inc. in Midlothian, Virginia.
Ethan Kicker's NPI, 1124610837, was assigned on February 4, 2021. Ethan Kicker holds Alabama license PTH10221.
- NPI
- 1124610837NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8820403785
- NPI enumeration date
- February 4, 2021
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (800) 848-3555
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 32
- Medical school graduation
- 2020
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Ethan Kicker practices at American Specialty Physical Medicine, Inc. in Midlothian, Virginia
Ethan Kicker's primary practice is American Specialty Physical Medicine, Inc., at 13801 St Francis Blvd, Midlothian, VA 23114 in Chesterfield County. The practice phone is (800) 848-3555.
- American Specialty Physical Medicine, Inc.13801 St Francis Blvd, Midlothian, VA 23114 · Chesterfield CountyPhone(800) 848-3555
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Ethan Kicker is affiliated with 3 sites of care and 2 medical groups
Ethan Kicker's primary practice is American Specialty Physical Medicine, Inc. in Midlothian, Virginia. The medical group on file is TherapySouth. Dmand AI also links Ethan Kicker to 2 more group practices and clinics and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Ethan Kicker's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ethan Kicker practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| American Specialty Physical Medicine, Inc. | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Ethan Kicker is one of 3,880 physical therapists in Virginia
Physical therapist is Ethan Kicker's primary specialty in the NPI Registry, under taxonomy code 225100000X. Ethan Kicker is licensed in Alabama.
Specialties and state licenses
- Physical therapist, AlabamaPrimary
Physical therapists near Ethan Kicker
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ethan Kicker treated 41 Medicare patients in 2024, average age 74
CMS counts 41 Medicare patients who saw Ethan Kicker in 2024. The largest group is 65 to 74, with 25 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 1.37, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Ethan Kicker's median patient age at 61, with 65% women.
Ethan Kicker's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Ethan Kicker's Medicare patients by sex, 2024
- Women2663%
- Men1537%
Chronic conditions among Ethan Kicker's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis73%
- Diabetes41%
- Ischemic heart disease27%
Share of Medicare patients with each condition. A patient can have several.
Ethan Kicker's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 61
Patient panel by sex, all payers
- Women65%
- Men35%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Ethan Kicker scored 95 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Ethan Kicker for performance year 2024, reported individually. Ethan Kicker accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Ethan Kicker's MIPS scores, performance year 2024
- 95of 100Final score
- 90of 100Quality
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Sources for Ethan Kicker's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ethan Kicker
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ethan Kicker's NPI number?
Ethan Kicker's NPI number is 1124610837. It was assigned on February 4, 2021, and it is active in the NPI Registry.
What does Ethan Kicker specialize in?
Ethan Kicker is a physical therapist in Midlothian, Virginia. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Ethan Kicker practice?
Ethan Kicker practices at 13801 St Francis Blvd, Midlothian, VA 23114. Ethan Kicker's primary practice is American Specialty Physical Medicine, Inc. in Midlothian, Virginia. Dmand AI also links Ethan Kicker to 2 group practices and clinics and 1 medical group.
What is Ethan Kicker's office phone number?
The practice phone on file for Ethan Kicker is (800) 848-3555.
What is Ethan Kicker's medical license number?
Ethan Kicker holds Alabama license PTH10221.
What medical group is Ethan Kicker part of?
Ethan Kicker is linked to TherapySouth. Dmand AI links Ethan Kicker to 1 more medical group.
Does Ethan Kicker accept Medicare?
Yes. CMS lists Ethan Kicker as accepting Medicare assignment.
What is Ethan Kicker's MIPS score?
Ethan Kicker's MIPS final score for performance year 2024 is 95 out of 100, reported individually.
How many Medicare patients does Ethan Kicker see?
CMS counts 41 Medicare patients who saw Ethan Kicker in 2024, with an average age of 74.
How long has Ethan Kicker been practicing?
Ethan Kicker graduated from medical school in 2020, 6 years ago.
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