MARTHA TUCKER DICKSON (NPI# 1720517881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720517881 |
| Entity Type | Individual |
| Full Name | MARTHA TUCKER DICKSON |
| Credential | PT, DPT |
| Practice Address |
11660 Alpharetta Hwy Ste 320 Roswell GA 30076-3878 |
| Practice Telephone | (770) 754-0085 |
| Practice Fax Number | 7707549288 |
| Mailing Telephone | 7707540085 |
| Mailing Fax Number | 7707549288 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTO12912 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11660 ALPHARETTA HWY STE 320 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427306422 | Melissa Lynn Harrell | Speech-Language Pathologist | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2012-08-22 |
| 1659987709 | David Hurdle | Behavioral Analyst | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2020-09-23 |
| 1063051753 | Rebecca Adams | Behavioral Analyst | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-12-30 |
| 1407495195 | Anna Kate Hughs | Behavioral Analyst | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-12-30 |
| 1477195956 | Rachael Lopez | Occupational Therapist | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-10-16 |
| 1861047441 | Ashley Green | Behavior Technician | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-08-09 |
| 1245885839 | Aja Woods | Behavior Technician | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-08-09 |
| 1376198960 | Stuart Michael Shaw | Physical Therapist | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-08-09 |
| 1720633308 | Lenox Tillman | Behavior Technician | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-08-09 |
| 1376198424 | Abdul Shabazz | Behavior Technician | 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487027249 | Linda Weaver | Physical Therapist | 165 Dove Ct, Roswell, GA 30075-4393 | 2015-11-02 |
| 1710322706 | Big Gym Therapy, LLC | Physical Therapist | 325 Waverly Hall Cir, Roswell, GA 30075-2110 | 2013-05-03 |
| 1871818641 | Jacob's Ladder Neurodevelopmental Learning Center | Physical Therapist | 407 Hardscrabble Rd, Roswell, GA 30075-1417 | 2010-04-05 |
| 1023626116 | Kia Denae Mattison | Physical Therapist | 12010 Etris Rd Ste A150, Roswell, GA 30075-8009 | 2020-07-15 |
| 1154791739 | Elizabeth Van Varick | Physical Therapist | 1000 Holcomb Woods Pkwy, Suite 422, Roswell, GA 30076-2575 | 2015-09-25 |
| 1043640287 | Carlyn N Harris | Physical Therapist | 11660 Alpharetta Hwy, Suite 320, Roswell, GA 30076-4943 | 2013-11-26 |
| 1760721179 | Peewee P.t., Inc. | Physical Therapist | 880 Marietta Hwy, Suite 630-310, Roswell, GA 30075-6755 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
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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.