Individual provider Active NPI

Meagan Lynelle Hicks, DPT

  • Physical Therapist
  • Hazard, KY
National Provider Identifier
1790189371
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006467 Issued in KY
Practice address
200 Village LN
Hazard, KY 41701-9416
Phone
(606) 439-4777
Fax
(606) 439-4448
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 006467 KY Primary

Addresses

Primary practice location

200 Village LN
Hazard, KY 41701-9416

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006467KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros Inc Physical Therapist Past Accepting new patients

Organizations & group practices 6

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1790189371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2903",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019416",
            "telephone_number": "606-439-4777",
            "fax_number": "606-439-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MEAGAN",
        "middle_name": "LYNELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.