Active NPI
Elizabeth Dixson
- Physical Therapist
- Grand Island, NE
National Provider Identifier
1013109347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2596
- Practice address
- 603 N Diers Ave Ste 1
Grand Island, NE 68803-4987 - Phone
- (308) 389-4418
- Fax
- (308) 389-4419
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2596 | NE | Primary |
Addresses
Primary practice location
603 N Diers Ave Ste 1
Grand Island, NE 68803-4987
Mailing address
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Phone (402) 330-8433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2596 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290902400000",
"number": "1013109347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S 133RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445905",
"telephone_number": "402-330-8433",
"fax_number": "402-330-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N DIERS AVE STE 1",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034987",
"telephone_number": "308-389-4418",
"fax_number": "308-389-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXSON",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2010-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.