Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAURA EILEEN HICKEY, PT, DPT

Active

Physical Therapy Assistant · SOUTHAVEN, MS

Registration Details

NPI Number: 1053125443
Provider Type: Individual
Gender: Female
NPI Issued: Feb 5, 2025 (1.2177717440072 yrs)
Last Updated: Jan 25, 2026
Licenses: CP052851T (TX)

PT033025 (PA)

30303 (MD)

16782 (TN)

CP050420T (MS)

Practice Information

Address: 7111 SOUTHCREST PKWY STE 105

SOUTHAVEN, MS, 386714851
Browse MS providers · Browse ZIP 38671
Phone: 9012612506
Fax: 9012612590
Primary Specialty: Physical Therapy Assistant
225100000X
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SOUTHAVEN, MS

Name	Credential	NPI
CASEY B MCGHEE	P.T.	1164425088
ADAM BROOKS RISINGER	P.T.	1508869462
DR. AMY RENAE GRAHAM	DPT	1467410969
MR. BRETT ALLEN RIVERS	PT	1811928823
MRS. BARBARA BEARD BARNETT	P.T.	1306852223
MICHAEL NEWTON PHILLIPS	PT	1063520294

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.