COURTNEY HICKERSON (PT, DPT) – Physical Therapist, NPI 1003654245

COURTNEY HICKERSON (PT, DPT) is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 009101 (KY). The NPI Number for COURTNEY HICKERSON (PT, DPT) is 1003654245

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY HICKERSON (PT, DPT)
NPI
1003654245
Phone
Not provided
Address
1200 CORPORATE DR STE 400
Enumeration Date
19 July 2024
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702200059
Graduation Year
2024 (2 years ago)
PAC ID
4587105838
Group Practice PAC ID
4486066396
Professional Enrollment ID
I20240926001183
Address ID
KY422408775HO10634WAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for COURTNEY HICKERSON (PT, DPT)

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone:

    Type: Mailing

  • 10634 EAGLE WAY

    HOPKINSVILLE, KY 422408775

    Phone: (270) 220-0059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240926001183IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486066396View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What unique ID ties claims to COURTNEY HICKERSON (PT, DPT)?
NPI 1003654245 is assigned to COURTNEY HICKERSON (PT, DPT) under the national enumeration system.
Is COURTNEY HICKERSON (PT, DPT) active in the national directory?
COURTNEY HICKERSON (PT, DPT)'s public NPI profile is in an active state.
Can you summarize COURTNEY HICKERSON (PT, DPT)'s specialty in plain language?
Clinically, the directory lists COURTNEY HICKERSON (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for COURTNEY HICKERSON (PT, DPT)?
The page summarizes Hoover, Alabama for COURTNEY HICKERSON (PT, DPT); expand the address list for detail.
Is COURTNEY HICKERSON (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1003654245. Always confirm identity and privileges with the practice and licensing boards.

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