Mikel Thacker, PT
NPI 1770197311 · Physical Therapist · Russellville, AR
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikel Thacker, PT is a Physical Therapist provider in Russellville, AR (NPI 1770197311).
Provider details
- NPI number
- 1770197311
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4868 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
5,311 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,965 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 1,461 | $25 |
| Therapy Procedure Using Functional Activities97530 | 692 | $30 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 652 | $19 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 180 | $8 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 97 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Frequently asked questions
- What is Mikel Thacker's NPI number?
- Mikel Thacker's National Provider Identifier (NPI) is 1770197311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikel Thacker's specialty?
- Mikel Thacker is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mikel Thacker located?
- Mikel Thacker's practice location on file with NPPES is 115 Skyline Dr Ste a, Russellville, AR 72802-3310.
- What is Mikel Thacker's phone number?
- The practice phone number listed in the NPPES registry for Mikel Thacker is (479) 967-5155.
- Does Mikel Thacker accept Medicare?
- Mikel Thacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mikel Thacker's NPI active?
- Yes — Mikel Thacker's NPI (1770197311) is active in the NPPES registry as of the last update on 2020-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.