Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elise L Hickernell, PT, ATC

Individual provider Physical Therapist · NPI 1154314003

Elise L Hickernell, PT, ATC is a Physical Therapist in Huber Heights, Ohio. Licensed in Ohio and Pennsylvania. Registered with an NPI since 2005.

Licensed in
OH, PA
In the registry since
2005
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

8701 Troy Pike Ste 220
Huber Heights, OH 45424-1188
Phone: (937) 558-3338
Fax: (937) 558-3327
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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 PT016068 (OH)
Physical Therapist Taxonomy 225100000X · Licence PT017542 (PA)
Physical Therapist Taxonomy 225100000X · Licence DAPT002641 (PA)
Athletic Trainer Taxonomy 2255A2300X · Licence RT003841 (PA)

Record details

NPI number1154314003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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