Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Hicks-Thibodeau

Individual provider Family Medicine Physician · NPI 1063869469

Amber Hicks-Thibodeau is a Family Practice in Mooresville, North Carolina. Qualified in 2015, 11 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

798 Oak Ridge Farm Hwy Ste A
Mooresville, NC 28115
Phone: (704) 658-0011
Fax: (704) 658-0012
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 Gypsy Ln, Youngstown, OH 44504-1315 — (330) 884-3235
  • 5170 Belmont Ave, Youngstown, OH 44505-1022 — (330) 759-2511

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2015-02105 (NC)

Record details

NPI number1063869469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2016
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Mooresville