Active NPI
Tessa Dickinson, MOT, OTR/L
- Pediatric Occupational Therapist
- Arnold, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2023037658
- Practice address
- 3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015 - Phone
- (636) 464-5439
- Fax
- (636) 464-5438
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2023037658 | MO | |
| Pediatric Occupational Therapist | 225XP0200X | 2023037658 | MO | Primary |
Addresses
Primary practice location
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Mailing address
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Phone (636) 464-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Missouri LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Occupational Therapist | Current | Accepting new patients |
Locations
16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba EmpowerMe Rehab St. Charles
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1013795855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3488 JEFFCO BLVD STE 102",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630106015",
"telephone_number": "636-464-5439",
"fax_number": "636-464-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3488 JEFFCO BLVD STE 102",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630106015",
"telephone_number": "636-464-5439",
"fax_number": "636-464-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "TESSA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023037658",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2023037658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MO
- Developmental Services of Jefferson County, Inc.
- Allison Dewald
- Diana Toler DC (Family Care Chiropractic Center)
- Diane G. Wilson, OD & Associates, PC (Arnold EyeCare Center)
- Stephanie Dickerson
- Eileen Diel
- Dierbergs Markets Inc (Dierbergs Arnold Commons)
- Bridget Kathryn Difranco, M.A.
- Shaina Emily Dilalla, MS, CCC
- Joan A Dipretore, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.