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

Amy E Licker, PT

Individual provider Physical Therapist · NPI 1164316402

Amy E Licker, PT is a Physical Therapist in Private Practice in Chamblee, Georgia. Qualified in 2010, 16 years ago. Practices with Pruitthealth Therapy Services Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3533 Hildon Cir
Chamblee, GA 30341-2606
Phone: (404) 290-9732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT010134 (GA)

Record details

NPI number1164316402
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address3533 Hildon Cir, Chamblee, GA 30341-2606

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pruitthealth Therapy Services Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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