Peter B Dickinson, MS, PT, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007732 Issued in WA

Practice address

202 White Ave
Winthrop, WA 98862-9774

Phone

(509) 996-8234

Fax

(509) 996-2193

NPI assigned

Nov 18, 2005

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Winthrop Physical Therapy PS

  • Sports Physical Therapist
  • Winthrop, WA
  • NPI 1649248154
  Authorized official Same address or phone

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1104808559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "988620814",
            "telephone_number": "509-996-8234",
            "fax_number": "509-996-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WHITE AVE",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "988629774",
            "telephone_number": "509-996-8234",
            "fax_number": "509-996-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "PETER",
        "middle_name": "B",
        "credential": "MS, PT, SCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER",
            "identifier": "DI5861",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0125007",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7120769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Birth Group
• Country Clinic
• Carol Ann Cyr, LMP
• Lawrence Delisi, D.C.
• John Michael Devlin, LAC, D.O.M
• Family Health Centers
• Janet Grieve Fry, RN
• Steven Carl Harrop, DDS
• Phoebe J Hershenow, NP
• Christopher G Hogness, MD

• Physical Therapist in Winthrop, WA
• Providers in Winthrop, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.