Active NPI
Nancyanne Page Hickman, P.T.
- Physical Therapist
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP025394T
- Practice address
- 7580 Clarington CV
Southaven, MS 38671-5657 - Phone
- (901) 259-1600
- Fax
- (901) 259-1698
- NPI assigned
- Aug 10, 2015
- Last updated
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10505 | TN | |
| Physical Therapist | 225100000X | CP025394T | MS | Primary |
Addresses
Primary practice location
7580 Clarington CV
Southaven, MS 38671-5657
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347
Other practice location 1
6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Phone (901) 259-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP025394T | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| Cairn Strength & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| MSK Group PC | Physical Therapist | Current | Accepting new patients |
Locations
7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
1350 Concourse Ave
Ste 363
Memphis, TN 38104
Phone (901) 260-6155
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 110
Memphis, TN 38120
Phone (901) 259-1600
794 S Cooper St
Ste 102
Memphis, TN 38104
Phone (901) 337-4316
Interoperability endpoints
- nancyanne.hickman.p6@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
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.
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
Physical Therapist
-
- Physical Therapist
- Memphis, TN
- NPI 1417617036
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1821474107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195754",
"telephone_number": "901-725-8347",
"fax_number": "901-259-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 CLARINGTON CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715657",
"telephone_number": "901-259-1600",
"fax_number": "901-259-1698"
}
],
"practiceLocations": [
{
"address_1": "6286 Briarcrest Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381204023",
"country_code": "US",
"telephone_number": "901-259-1600",
"fax_number": "901-259-1698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKMAN",
"first_name": "NANCYANNE",
"middle_name": "PAGE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10505",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "CP025394T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.