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

Ellen Myree Hicks, ATC

Individual provider Athletic Trainer · NPI 1003203431

Ellen Myree Hicks, ATC is an Athletic Trainer in Port Republic, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5939 Flank Cir
Port Republic, VA 24471-2231
Phone: (540) 828-5368
Fax: (540) 515-3763
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126000363 (VA)

Record details

NPI number1003203431
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 23, 2015
Last updated in NPPESApril 23, 2015
Mailing address5939 Flank Cir, Port Republic, VA 24471-2231