Hina Aslam Ticknor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41479 Issued in FL

Practice address

1114 Bichara Blvd
Lady Lake, FL 32159-7716

Phone

(352) 577-0832

NPI assigned

Jul 24, 2023

Last updated

Aug 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors United, IncGroup PAC ID 1153212162, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  Medicare reassignment Care Compare group NPD
• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Theraplay LLC

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1225704802
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1447930607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BICHARA BLVD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597716",
            "telephone_number": "352-577-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BICHARA BLVD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597716",
            "telephone_number": "352-577-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKNOR",
        "first_name": "HINA",
        "middle_name": "ASLAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049064",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Villages Nursing and Rehab LLC (The Villages Healthcare and Rehabilitation Center)
• The Villages Rehabilitation Services LLC (Lake Centre for Rehabilitation at the Villages)
• Jeffrey R Thill, M.D.
• Kelsie Thomas
• Matthew Thompson, PA-C
• TLC ASC, LLC
• Maxwell Tran, MD
• Trevisani Oral Surgery the Villages
• Tri-County Heart Institute PA
• Tri-County Orthopaedic Center, PA

• Physical Therapist in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Physical Therapist in Florida

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