Individual provider Active NPI

Keyona Nicole Hicks

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1740087709
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23928 Issued in NC
Practice address
2001 N Church St Ste 230
Greensboro, NC 27405-5633
Phone
(336) 275-1711
NPI assigned
Feb 27, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23928 NC Primary

Addresses

Primary practice location

2001 N Church St Ste 230
Greensboro, NC 27405-5633

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947

Other practice location 1

4515 Premier Dr Ste 307
High Point, NC 27265-8356
Phone (336) 802-2250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407002886 NC Practitioner - Physical Therapist in Private Practice 3971027350 Reassigns benefits to 5 organizations

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
Benchmark Physical Therapy of North Carolina, LLCGroup PAC ID 1052609278, 242 clinicians

Practice addresses (Care Compare)

2001 N Church St
Suite 230
Greensboro, NC 27405-3675
Phone (336) 275-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

2001 N Church St
Ste 230
Greensboro, NC 27405
Phone (336) 275-1711

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 9

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1740087709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-713-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N CHURCH ST STE 230",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055633",
            "telephone_number": "336-275-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Premier Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658356",
            "country_code": "US",
            "telephone_number": "336-802-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KEYONA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, 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.