Lanan Rae Dixon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4947-024 Issued in WI

Practice address

1400 Washington St
Suite 3
Two Rivers, WI 54241-3043

Phone

(920) 553-8993

Fax

(920) 553-8990

NPI assigned

May 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Appleton Fitness Spine & Sport, Inc.

  • Physical Therapist
  • Appleton, WI
  • NPI 1225103070
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Two Rivers, WI
  • NPI 1447398425
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1104038165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413043",
            "telephone_number": "920-553-8993",
            "fax_number": "920-553-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413043",
            "telephone_number": "920-553-8993",
            "fax_number": "920-553-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LANAN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4947-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40295900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Derenne Hansen, LPC
• Erica L Dessart, NP
• Sarah Ann Dettwiler, LAT, PTA
• Natalia A Devore
• Alfredo Diaz, MD
• Joseph M Donati, PT
• Paula Dow, R.N.
• Kaytlyn Rae Kramer Dummer, PHARMD
• John D Dusenbery, CRNA
• Amy R Dysart, MD

• Physical Therapist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.