SHANTIL DICKERSON (NPI# 1689112039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689112039 |
| Entity Type | Individual |
| Full Name | SHANTIL DICKERSON |
| Practice Address |
22 Nw 11th St. Richmond IN 47374 |
| Mailing Address |
1100 Reid Parkway Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 3307162285 |
| Mailing Telephone | 9374564181 |
| Mailing Fax Number | 9374564649 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 05012095A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT016442 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | PENDING | 01 | |
| IN | PENDING | 05 | |
| OH | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Hallmark Dr, Eaton, OH 453208648 | 9374564181 | 9374564649 |
| Street Address |
22 NW 11TH ST. |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| 1568718476 | Pranav Prakash | Family Medicine | 233 South 4th Street, Richmond, IN 47374 | 2012-07-29 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1003422965 | Chandler Hagan Mcpherson | Physical Therapist | 1400 Gibson Bay Dr, Richmond, KY 40475-3800 | 2020-09-16 |
| 1518589902 | Pelvic Prana, LLC | Physical Therapist | 8 N Robinson St, Richmond, VA 23220-4430 | 2020-05-08 |
| 1407480882 | Stephen V Teng | Physical Therapist | 1500 Jackson St Ste 400, Richmond, TX 77469-3250 | 2020-02-25 |
| 1548804958 | Industrial Health, LLC | Physical Therapist | 9019 W Broad St, Richmond, VA 23294-5809 | 2019-10-30 |
| 1508426164 | Matthew Tyler Ward | Physical Therapist | 5899 Bremo Rd Ste 100b, Richmond, VA 23226-1935 | 2019-06-17 |
| 1255998837 | Kavitha Parasumanna Janarthanaa | Physical Therapist | 16806 Lessels Ln, Richmond, TX 77407-2258 | 2019-05-20 |
| 1467018101 | Chelsea Mannion | Physical Therapist | 20 S Boulevard Apt 4, Richmond, VA 23220-5797 | 2019-05-17 |
| 1578020111 | Aloysius Cabatingan | Physical Therapist | 22607 Duncan Brush Trce, Richmond, TX 77469-4766 | 2019-03-01 |
| 1952867509 | Confident Living Home Therapy Consulting LLC | Physical Therapist | 1276 Concord Ave, Richmond, VA 23228-6518 | 2019-02-19 |
| 1962968115 | Daily Touch LLC | Physical Therapist | 8900 Three Chopt Rd Ste D, Richmond, VA 23229-4615 | 2019-02-13 |
| Find all providers in RICHMOND | ||||
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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.