IndividualActive
Thomas Licklider, CO
NPI 1568782860 · Orthotist · Nebo, NC
Provider details
- NPI number
- 1568782860
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
132 Forest Ridge Dr
Nebo, NC 28761-8708
Phone: (314) 757-5395
Street-level locationGet directions
Mailing address
132 Forest Ridge Dr
Nebo, NC 28761-8708
Registry dates
- Enumerated
- 2010-06-09
- Last updated
- 2011-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.