Abigail Hicks, DPT
Individual provider Active NPI Physical Therapist · Prairieville, LA
NPI 1003598665 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1003598665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11526 (LA)
- Practice address
- 17094 Airline Hwy
Prairieville, LA 70769-3400 - Phone
- (225) 677-8400
- Fax
- (225) 677-8484
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929000114 | LA | Practitioner - Physical Therapist in Private Practice | 9638523335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Therapy Services, L.L.C. | Physical Therapist | Current |
Accepting new patients |
Locations
17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11526 | LA | Yes |
Addresses
Primary practice location
17094 Airline Hwy
Prairieville, LA 70769-3400
Mailing address
17094 Airline Hwy
Prairieville, LA 70769-3400
Phone (225) 677-8400
Other providers in Prairieville, LA
- Heal-Mind Body Soul, LLC
- Healing and Releasing Trauma, LLC
- Health Quest Physical Therapy-Prairieville Clinic, LLC
- James Daniel Hendrick
- Joseph Heneghan
- Higher Learning, LLC
- Bunnie Hill
- Chasity Hill
- HMC Generators, LLC
- Danielle Ecuyer Hofman
All providers in Prairieville, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.