Individual provider Active NPI

Thanh Lien Hicks, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1861650038
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007309 Issued in KY
Practice address
4610 Chamberlain LN
Louisville, KY 40241-1160
Phone
(502) 618-8200
Fax
(502) 618-8201
NPI assigned
May 23, 2008
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 2305203319 VA
Physical Therapist 225100000X 007309 KY Primary

Addresses

Primary practice location

4610 Chamberlain LN
Louisville, KY 40241-1160

Mailing address

1205 Cornbridge Rd
Mineral Springs, AR 71851-8968
Phone (703) 659-9073

Other practice location 1

1205 cornbridge rd
Mineral Springs, AR 71851
Phone (703) 659-9073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609000848 KY Practitioner - Physical Therapist in Private Practice 3678930443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

4610 Chamberlain LN
Louisville, KY 40241-1160
Phone (502) 618-8200

6408 W Hwy 146
Suite 9
Crestwood, KY 40014-9575
Phone (502) 212-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007309KYMDPhysical Therapist
2305203319VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Mar 22, 2025 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 30, 2023 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Mar 22, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 30, 2023 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist Past Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

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

6408 W Highway 146
Ste 9
Crestwood, KY 40014
Phone (502) 212-2171

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

4610 Chamberlain Ln
Louisville, KY 40241
Phone (502) 618-8200

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1861650038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CORNBRIDGE RD",
            "city": "MINERAL SPRINGS",
            "state": "AR",
            "postal_code": "718518968",
            "telephone_number": "703-659-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411160",
            "telephone_number": "502-618-8200",
            "fax_number": "502-618-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 cornbridge rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Springs",
            "state": "AR",
            "postal_code": "71851",
            "country_code": "US",
            "telephone_number": "703-659-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "THANH",
        "middle_name": "LIEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203319",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.