BENJAMIN LANE DICKERSON (NPI# 1477016327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477016327 |
| Entity Type | Individual |
| Full Name | BENJAMIN LANE DICKERSON |
| Credential | PT, DPT, ATC |
| Practice Address |
3207 Hilliard Rome Rd Hilliard OH 43026 |
| Mailing Address |
1520 W 6th Ave Apt 13 Columbus OH 43212-2469 |
| Practice Telephone | 6148500680 |
| Mailing Telephone | 4196185565 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT.015069 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
8403 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
BOC154302 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3207 Hilliard Rome Rd, Hilliard, OH 43026 | 6148500680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154732238 | Benjamin Scott Dickerson | Chiropractor | 474 Highway 1 W, Iowa City, IA 52246-4204 | 2014-05-12 |
| Street Address |
3207 HILLIARD ROME RD |
| City | HILLIARD |
| State | OH |
| Zip Code | 43026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588675391 | Lisa Stroth | Physical Therapy Assistant | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2006-08-10 |
| 1952946576 | Angela Roll | Physical Therapist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2019-11-07 |
| 1407403868 | Connor Bryan Feeney | Physical Therapist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2019-08-21 |
| 1629507694 | Ellen Cavanaugh | Physical Therapist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2017-06-05 |
| 1457584096 | Eric Alan Johnson | Physical Therapist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2009-08-31 |
| 1235341124 | Tara M Mcelroy | Specialist/Technologist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2007-05-04 |
| 1841415866 | Kathleen Elizabeth Meisner | Physical Therapist | 3207 Hilliard Rome Rd, Hilliard, OH 43026-9472 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728944 | Stephanie Shockey | Nurse Practitioner | 2371 Hilliard Rome Road, Hilliard, OH 43026 | 2020-07-27 |
| 1427690627 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 2377 Hilliard Rome Rd, Columbus, OH 43026 | 2019-10-09 |
| 1578115408 | 614 Chiropractic LLC | Chiropractor | 5250 Cemetery Road, Hilliard, OH 43026 | 2019-07-11 |
| 1417412073 | Samantha Marie Sech | Specialist/Technologist | 5493 Old Creek Ln, Hilliard, OH 43026 | 2019-02-07 |
| 1609352400 | Tina M Moy | Licensed Practical Nurse | 3605 Scarberry Dr, Hilliard, OH 43026 | 2018-07-14 |
| 1528560646 | Columbus One Anesthesia LLC | Anesthesiology | 4600 Leap Ct Ste 121, Hilliard, OH 43026 | 2018-03-05 |
| 1154837136 | Kathleen Heitkamp | Registered Nurse | 4674 Britton Parkway, Suite 2200, Hilliard, OH 43026 | 2017-12-28 |
| 1598281610 | Midpoint Associates, LLC | Non-emergency Medical Transport (VAN) | 8411 Morris Rd., Hilliard, OH 43026 | 2017-08-21 |
| 1841654555 | Jackie Palmer | Speech-Language Pathologist | 7825 Roberts Rd, Hilliard, OH 43026 | 2016-04-08 |
| 1639551161 | Elizabeth Benissan-messan | Physician Assistant | 3677 Scioto Darby Rd, Hilliard, OH 43026 | 2015-06-20 |
| Find all providers in zip 43026 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699117580 | Kari Ellyn Brown Budde | Physical Therapist | 7121 Davis Rd, Hilliard, OH 43026-9453 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271643 | Matthew Brancaleone | Physical Therapist | 337 Annie and John Glenn Ave, Columbus, OH 43210-1442 | 2019-12-04 |
| 1215571195 | Patricia Mariano Kopasakis | Physical Therapist | 33100 Cleveland Clinic Blvd # 1-1, Avon, OH 44011-1390 | 2019-11-04 |
| 1700367620 | Amber Boyd | Physical Therapist | 222 Piedmont Ave Ste 2300, Cincinnati, OH 45219-4215 | 2018-08-28 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1720476989 | Michael Sean Huffman | Physical Therapist | 1270e Powell Rd, Lewis Center, OH 43035-8619 | 2014-12-22 |
| 1144655549 | Alexis J Roseman | Physical Therapist | 2751 Ovarsity Way Rm 265, Cincinnati, OH 45221-0001 | 2013-09-05 |
| 1124463435 | John T Vanwey | Physical Therapist | 221 Duff St, Gambier, OH 43022-5013 | 2013-05-01 |
| 1619153400 | Janine L Oman | Physical Therapist | 535 Irving Schottenstein Drive, Whac, Columbus, OH 43210 | 2008-01-11 |
| 1619152840 | Mark F Elkin | Physical Therapist | 11880 Mosteller Rd, Sharonville, OH 45241-1551 | 2008-01-07 |
| 1336341973 | Athletic Advantage, Inc | Physical Therapist | 8849 Whitney Dr, Lewis Center, OH 43035-7107 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.