Individual provider Active NPI

Amanda Hickle

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1821471517
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1276667 Issued in TX
Practice address
11854 Allisonville Rd
Fishers, IN 46038-2312
Phone
(317) 845-9628
Fax
(317) 845-9740
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011750A IN
Physical Therapist 225100000X 1276667 TX Primary

Addresses

Primary practice location

11854 Allisonville Rd
Fishers, IN 46038-2312

Mailing address

11854 Allisonville Rd
Fishers, IN 46038-2312
Phone (317) 845-9628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915000514 TX Practitioner - Physical Therapist in Private Practice 8628453446 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
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, 91 clinicians

Practice addresses (Care Compare)

13440 University Blvd
Suite 210
Sugar Land, TX 77479-4909
Phone (281) 277-1330

4899 Hwy 6
Suite 212C
Missouri City, TX 77459-2175
Phone (346) 371-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05011750AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2022 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

15311 Vantage Pkwy W
Ste 130
Houston, TX 77032
Phone (281) 442-6861

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

6807 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591
Phone (409) 935-2840

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 7

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1821471517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11854 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382312",
            "telephone_number": "317-845-9628",
            "fax_number": "317-845-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11854 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382312",
            "telephone_number": "317-845-9628",
            "fax_number": "317-845-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011750A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1276667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.