Kristen Dicicco, OT, DOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTC9339 Issued in AZ

Practice address

790 N Estrella Pkwy Ste C
Goodyear, AZ 85338-9290

Phone

(602) 765-4348

Fax

(623) 233-6567

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHT Hand Therapy Limited PartnershipGroup PAC ID 0547362691, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DHT Hand Therapy Limited Partnership

  dba Arizona Desert Hand Therapy

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1629137997
  Medicare reassignment Care Compare group NPD
• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Surgery of the Hand (Surgery) Physician
  • Phoenix, AZ
  • NPI 1972502227
  Medicare reassignment NPD
• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1467284828
  NPD
• DHT Hand Therapy Limited Partnership

  dba Desert Hand and Physical Therapy

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1396819546
  NPD
• DHT Hand Therapy Limited Partnership

  dba Desert Hand and Physical Therapy

  • Occupational Therapist
  • Goodyear, AZ
  • NPI 1578047320
  NPD
• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1609588235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1043945074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "623-233-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N ESTRELLA PKWY STE C",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389290",
            "telephone_number": "602-765-4348",
            "fax_number": "623-233-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICICCO",
        "first_name": "KRISTEN",
        "credential": "OT, DOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTC9339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suman Dhanota
• DHT Hand Therapy Limited Partnership (Desert Hand and Physical Therapy)
• Heather Tamera Diamond
• Diaz Internal Medicine and Pediatrics (Arizona Medical Institute)
• Denise M Diaz, NP
• Lynn M Dierks, ACNP
• Michelle Dillon, CCC-SLP
• Jennifer S Dimas, WHNP-BC
• Jocelyn Abueva Dimeco, FNP
• Jeremy R Ding, PHARMD

• Occupational Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.

Verify at the official NPI Registry.