Active NPI
Thanh Lien Hicks, DPT
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007309
- 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, 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007309 | KY | MD | Physical Therapist |
| 2305203319 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | 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.
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
KY, Physical Therapist
-
- Physical Therapist
- Lexington, KY
- NPI 1821430257
-
- Physical Therapist
- Richmond, KY
- NPI 1003258443
-
- Physical Therapist
- Winchester, KY
- NPI 1639511074
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
-
- Physical Therapist
- Lexington, KY
- NPI 1558828103
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.