Individual provider Active NPI

Elizabeth Hickman, PT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1366816795
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10116 Issued in SC
Practice address
1029 York St NE
Aiken, SC 29801-4025
Phone
(803) 502-1484
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2025

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 10116 SC Primary

Addresses

Primary practice location

1029 York St NE
Aiken, SC 29801-4025

Mailing address

1029 York St NE
Aiken, SC 29801-4025
Phone (803) 502-1484

Other practice location 1

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 808-4250

Other practice location 2

1165 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 808-4440

Other identifiers 1

IdentifierTypeStateIssuer
C09813OtherVAMEDICARE IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160420002630 VA Practitioner - Physical Therapist in Private Practice 7416255641
I20160726000081 NC Practitioner - Physical Therapist in Private Practice 7416255641
I20211220002379 SC Practitioner - Physical Therapist in Private Practice 7416255641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Orthopedic and Sports Medicine Specialists, PCGroup PAC ID 8527052463, 55 clinicians

Practice addresses (Care Compare)

410 University Pkwy
Suite 1000
Aiken, SC 29801-6800
Phone (803) 644-4264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10116SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Sep 13, 2023 Accepting new patients
South Aiken Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC Past Accepting new patients

Locations

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

399 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 293-1540

943 Pine Log Rd
Aiken, SC 29803
Phone (803) 648-2366

Interoperability endpoints

  • Direct secure messaging: elizabeth.hickman.1@23890.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1366816795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 YORK ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014025",
            "telephone_number": "803-502-1484",
            "fax_number": "803-502-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 YORK ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014025",
            "telephone_number": "803-502-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 Arendell St",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285572866",
            "country_code": "US",
            "telephone_number": "252-808-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Cedar Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Cedar Point",
            "state": "NC",
            "postal_code": "28584",
            "country_code": "US",
            "telephone_number": "252-808-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "C09813",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.