| Connor Hicks, | |
|
2106 Bardstown Rd, Louisville, KY 40205-1916 | |
| (502) 459-4647 | |
| (502) 456-5705 |
| Full Name | Connor Hicks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2106 Bardstown Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366274706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 009323 (Kentucky) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Hicks, 1579 Bardstown Rd, Louisville, KY 40205-1150 Ph: (502) 459-4647 | Connor Hicks, 2106 Bardstown Rd, Louisville, KY 40205-1916 Ph: (502) 459-4647 |
Alyssa Seger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 Phone: 502-412-5847 | |
Dr. Darlene Rose Orangias, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 Phone: 502-412-5847 | |
Andrew Morgan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9880 Angies Way Ste 100, Louisville, KY 40241 Phone: 502-339-6490 | |
Christian Rae North, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy, Suite 122, Louisville, KY 40216 Phone: 502-447-2750 | |
Courtney M Nauert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr Ste 200, Louisville, KY 40223 Phone: 502-587-1236 | |
Alexis Rae Walsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Evan Callahan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 |