JENNIFER MARIE DICKSON (NPI# 1558495846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558495846 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE DICKSON |
| Credential | DPT, OMPT |
| Practice Address |
67962 Van Dyke Rd Romeo MI 48065-5163 |
| Mailing Address |
878 S Rochester Rd Rochester Hills MI 48307-2767 |
| Practice Telephone | 5863364022 |
| Practice Fax Number | 5863364082 |
| Mailing Telephone | 2486019207 |
| Mailing Fax Number | 2486508670 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501011225 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 650E008430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437394178 | Jennifer Nicole Dickson | Social Worker | 332 W Bijou St Ste 103, Colorado Springs, CO 80905-1347 | 2008-12-09 |
| 1376016303 | Jennifer Lea Dickson | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-01-02 |
| 1184164832 | Jennifer Kelsey Dickson | Counselor | 217 W 3rd St, Farmville, VA 23901-1303 | 2017-02-28 |
| 1831529957 | Jennifer Dickson | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-11-27 |
| 1275773327 | Jennifer Charis Dickson | Counselor | 901 Goodyear Ave, Gadsden, AL 35903-1106 | 2009-03-03 |
| 1881846517 | Jennifer Lynn Dickson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2008-10-13 |
| 1336228543 | Jennifer M Dickson | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-06 |
| 1043396203 | Jennifer Lyn Dickson | Physical Therapist | 425 S Cherry St, 640, Denver, CO 80246-1226 | 2006-10-31 |
| 1003900523 | Jennifer Talbert Dickson | Dentist | 100 Rice Mine Rd N, Suite D, Tuscaloosa, AL 35406 | 2006-10-02 |
| 1336159094 | Jennifer Brook Dickson | Occupational Therapy Assistant | 1000 S Fort Thomas Ave, Fort Thomas, KY 41075-2305 | 2006-08-08 |
| Street Address |
67962 VAN DYKE RD |
| City | ROMEO |
| State | MI |
| Zip Code | 48065-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226088 | Christy Burko | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2020-08-20 |
| 1013306182 | Bethany Anne Delmotte | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2015-01-13 |
| 1871932665 | Thomas A King | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2013-06-14 |
| 1356662530 | Sarah Staub Johnson | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2010-06-22 |
| 1053577965 | Christina Tischler | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2008-07-30 |
| 1548433014 | Donald W Felstow | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2008-04-07 |
| 1518130277 | Kimberly M Dziadzio | Physical Therapist | 67962 Van Dyke Rd, Romeo, MI 48065-5163 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063095 | Trilogy Healthcare of Romeo, LLC | Skilled Nursing Facility | 71150 Orchard Crossing Lane, Romeo, MI 48065 | 2016-02-17 |
| 1801288931 | Authentic Living Therapy Center | Social Worker | 254 Fairgrove, Romeo, MI 48065 | 2015-02-26 |
| 1356739122 | Rite Aid Corp | Pharmacy | 298 N Main St, Romeo, MI 48065 | 2015-01-02 |
| 1306010657 | Erica Lee Mason | Physical Therapist | 67962 South Vandyke, Romeo, MI 48065 | 2008-04-17 |
| 1538365945 | Aks of Romeo LLC | Clinic/Center | 67962 S Van Dyke, Romeo, MI 48065 | 2007-06-22 |
| 1124150495 | Rodney Alan Rohloff | Dentist | 155 South Rawles St, Romeo, MI 48065 | 2007-03-12 |
| 1770610420 | Macomb County Mental Health | Community/Behavioral Health | 70288 Hillside Court, Bruce Township, MI 48065 | 2007-02-28 |
| 1801923172 | M Magsoudi Dds PC | Dentist | 229 North Bailey St, Romeo, MI 48065 | 2007-02-27 |
| 1922172436 | Harry Gee | Emergency Medicine | 80650 Van Dyke Avenue, Henry Ford Macomb Hospital, Romeo, MI 48065 | 2006-11-17 |
| 1801987136 | Kimberly C Hazel | Social Worker | 1 N Starkweather Aly Fl 3, Romeo, MI 48065 | 2006-09-28 |
| Find all providers in zip 48065 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| 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.