Christopher L Dickerson (NPI# 1003164831, PAC ID# 0244482453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003164831 |
| PAC ID by PECOS | 0244482453 |
| Professional Enrollment ID | I20121217000331 |
| Full Name | Christopher L Dickerson |
| Organization Legal Name | PUGET SOUND PHYSICAL THERAPY LLC |
| Address |
3201 Willamette Dr Ne Suite C Lacey WA 98516-1376 |
| Phone Number | 3604550100 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2769771831 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 | 3604550100 | PUGET SOUND PHYSICAL THERAPY LLC |
| Organization Legal Name | PUGET SOUND PHYSICAL THERAPY LLC |
| Physicians | 1 |
| Street Address |
3201 WILLAMETTE DR NE SUITE C |
| City | LACEY |
| State | WA |
| Zip | 98516-1376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Broudy | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Steven Roach | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Theresa D Cirone-hornickel | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Preston Michael Stephens | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Christine G Johnson | Physical Therapy | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Karen M Carlson | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Kathryn Anne Dean | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Michael A Lynam | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Manvi V Smith | Psychologist, Clinical | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Megan Lynn Frasier | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Corey Sullivan | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Find all physicians in zip 98516 | |||
| City | LACEY |
| Zip Code | 98516 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LACEY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Christopher L Dickerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.