DR. CHRISTOPHER LEE DICKERSON (NPI# 1003164831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003164831 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER LEE DICKERSON |
| Credential | DPT |
| Practice Address |
5210 Corporate Center Ct Se Suite D Lacey WA 98503-5952 |
| Mailing Address |
1519 132nd St Se Suite A Everett WA 98208-7203 |
| Practice Telephone | 3604558155 |
| Practice Fax Number | 3604551655 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253579382 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 0301544 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242896 | Christopher Bradley Dickerson | Dentist | 363 Lakeview Ct, Covington, LA 70433-7515 | 2008-04-17 |
| Street Address |
5210 CORPORATE CENTER CT SE SUITE D |
| City | LACEY |
| State | WA |
| Zip Code | 98503-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487853354 | Antonio Joaquin Varela | Physical Therapist | 5210 Corporate Center Ct Se, Suite D, Lacey, WA 98503-5952 | 2007-07-12 |
| 1780044040 | Jennifer Lynn Hoeniges | Occupational Therapist | 5210 Corporate Center Ct Se, Ste D, Lacey, WA 98503-5952 | 2016-02-29 |
| 1942568654 | Integrated Rehab Group Limited Partnership | Physical Therapist | 5210 Corporate Center Ct Se, Suite 105, Lacey, WA 98503-5952 | 2012-05-01 |
| 1295008605 | Robin D Phillips | Massage Therapist | 5210 Corporate Center Ct Se, Suite D, Lacey, WA 98503-5952 | 2012-02-15 |
| 1093014193 | Chelsea D Torvik | Massage Therapist | 5210 Corporate Center Ct Se, Suite D, Lacey, WA 98503-5952 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918664 | Katherine R Shaw | Physical Therapist | 5210 Corporate Center Ct Se Ste D, Lacey, WA 98503-5952 | 2019-08-22 |
| 1821580473 | Allison N Donlan | Physical Therapist | 4631 Whitman Ln Se Ste D, Lacey, WA 98513-2250 | 2018-05-30 |
| 1205327905 | Kindra Marie Mcdougall | Physical Therapist | 4219 6th Ave Se Ste A, Lacey, WA 98503-1065 | 2018-05-29 |
| 1720505530 | Aerie Glowka | Physical Therapist | 4219 6th Ave Se Ste B, Lacey, WA 98503-1065 | 2017-08-23 |
| 1477079002 | Steven Roach | Physical Therapist | 3201 Willamette Dr Ne Ste C, Lacey, WA 98516-1376 | 2017-08-15 |
| 1952790610 | Abbie Laycock | Physical Therapist | 8750 Tallon Ln Ne Ste C, Lacey, WA 98516-6608 | 2015-01-20 |
| 1447570809 | Brandon Bruce Bennett | Physical Therapist | 7605 38th Ct Se, Lacey, WA 98503-4804 | 2010-06-08 |
| 1790931616 | Kelli Ann Henricksen | Physical Therapist | 8750 Tallon Ln Ne, Suite C, Lacey, WA 98516-6608 | 2008-08-12 |
| 1467632745 | Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Physical Therapist | 8750 Talon Ln Ne, Hawks Prairie Suite C, Lacey, WA 98516-6642 | 2007-11-05 |
| 1487853354 | Antonio Joaquin Varela | Physical Therapist | 5210 Corporate Center Ct Se, Suite D, Lacey, WA 98503-5952 | 2007-07-12 |
| Find all providers in LACEY | ||||
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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.