Individual provider Active NPI

Maura Eileen Hickey, PT, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1053125443
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055940T Issued in NC
Practice address
2609 N Duke St
Suite 203
Durham, NC 27704
Phone
(919) 220-6532
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052851T TX
Physical Therapist 225100000X 16782 TN
Physical Therapist 225100000X CP055940T NC Primary
Physical Therapist 225100000X 30303 MD
Physical Therapist 225100000X CP050420T MS
Physical Therapist 225100000X PT033025 PA

Addresses

Primary practice location

2609 N Duke St
Suite 203
Durham, NC 27704

Mailing address

2609 N Duke St
Suite 203
Durham, NC 27704
Phone (919) 220-6532

Other practice location 1

4515 Poplar Ave Ste 10
Memphis, TN 38117-7503
Phone (901) 728-6912

Other practice location 2

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone (901) 261-2506

Other practice location 3

116 Defense Hwy Ste 101
Annapolis, MD 21401-7040
Phone (410) 897-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250923003721 TN Practitioner - Physical Therapist in Private Practice 1052816832 Reassigns benefits to 1 organization
I20251202001783 MS Practitioner - Physical Therapist in Private Practice 1052816832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, shared by 10 NPIs, 138 clinicians

Practice addresses (Care Compare)

4515 Poplar Ave
Suite 206
Memphis, TN 38117-7506
Phone (901) 641-3000

7111 Southcrest Pkwy
Suite 105
Southaven, MS 38671-4851
Phone (901) 261-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16782TNMDFamily Medicine Physician
30303MDMDPhysical Therapist
CP050420TMSMDPhysical Therapist
CP055940TNCMDPhysical Therapist
PT033025PAMDPhysical Therapist
CP052851TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Jul 31, 2025 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Jul 31, 2025 Accepting new patients
MSK Group PC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Proactive Therapy of North Carolina Inc Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506

4515 Poplar Ave
Ste 206
Memphis, TN 38117
Phone (901) 381-4664

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

4515 Poplar Ave
Ste 210
Memphis, TN 38117
Phone (901) 728-6912

Organizations & group practices 5

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1053125443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-6532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Poplar Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381177503",
            "country_code": "US",
            "telephone_number": "901-728-6912",
            "fax_number": "901-701-2428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 Southcrest Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714851",
            "country_code": "US",
            "telephone_number": "901-261-2506",
            "fax_number": "901-261-2590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Defense Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017040",
            "country_code": "US",
            "telephone_number": "410-897-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MAURA",
        "middle_name": "EILEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP052851T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16782",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP055940T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30303",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "CP050420T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.