Evan Hanne Hicks

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5839 Issued in AR

Practice address

1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8803

Phone

(479) 595-0474

Fax

(479) 239-5444

NPI assigned

Jun 17, 2026

Sex

Male

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rise Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1104319433
  NPD (past)
• Rise Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1851743009

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1861327025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-595-0711",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048803",
            "telephone_number": "479-595-0474",
            "fax_number": "479-239-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7115 E Saint Charles Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652020196",
            "country_code": "US",
            "telephone_number": "573-884-6851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "EVAN",
        "middle_name": "HANNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5839",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023021889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans Barron Heymann, MD
• Sydney Steed Hibbs
• Tara J Hickman, NMD
• Samantha Hickmon, LPC
• Hicks Health MD
• Jennifer Lynn Hicks, RD
• Johnny Mike Hicks II
• Lature Elease Hicks, NP-C
• Stephanie Hicks, M.S., CCC-SLP
• Stephen Bradley Hicks, M.D.

• Physical Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.