SHANTIL DICKERSON


Address: 22 Nw 11th St., Richmond, IN 47374
Phone: 3307162285

SHANTIL DICKERSON (NPI# 1689112039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM PENDING 01
IN PENDING 05
OH PENDING 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
550 Hallmark Dr, Eaton, OH 453208648 9374564181 9374564649

Office Location

Street Address 22 NW 11TH ST.
City RICHMOND
State IN
Zip Code 47374

Providers in the same zip code

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 Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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

Competitor

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City RICHMOND
Zip Code 47374

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Dataset Information

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.

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