Individual provider Active NPI

Abigail Hicks, DPT

  • Physical Therapist
  • Prairieville, LA
National Provider Identifier
1003598665
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11526 Issued in LA
Practice address
17094 Airline Hwy
Prairieville, LA 70769-3400
Phone
(225) 677-8400
Fax
(225) 677-8484
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11526 LA Primary

Addresses

Primary practice location

17094 Airline Hwy
Prairieville, LA 70769-3400

Mailing address

17094 Airline Hwy
Prairieville, LA 70769-3400
Phone (225) 677-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929000114 LA Practitioner - Physical Therapist in Private Practice 9638523335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Therapy Services, L.L.C. Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients

Locations

17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1003598665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17094 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693400",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17094 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693400",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ABIGAIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.