Active NPI
Erin Lee Dickson, PT, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1023628518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36014
- Practice address
- 6388 Silver Star Rd Ste 1E
Orlando, FL 32818-3235 - Phone
- (321) 369-9133
- NPI assigned
- Aug 9, 2020
- 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 | PT36014 | FL | Primary |
Addresses
Primary practice location
6388 Silver Star Rd Ste 1E
Orlando, FL 32818-3235
Mailing address
3715 Wimbledon Dr
Lake Mary, FL 32746-4039
Phone (407) 463-6632
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 |
|---|---|---|---|
| PT36014 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1023628518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 WIMBLEDON DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464039",
"telephone_number": "407-463-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6388 SILVER STAR RD STE 1E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183235",
"telephone_number": "321-369-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "ERIN",
"middle_name": "LEE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-09",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.