Individual provider Active NPI

Aryeh Leib Dicker, D.P.T.

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1124458385
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037001 Issued in NY
Practice address
779 Golf Dr
Valley Stream, NY 11581-3520
Phone
(917) 363-4720
NPI assigned
Nov 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037001 NY Primary

Addresses

Primary practice location

779 Golf Dr
Valley Stream, NY 11581-3520

Mailing address

779 Golf Dr
Valley Stream, NY 11581-3520
Phone (917) 363-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000494 NY Practitioner - Physical Therapist in Private Practice 9335455344 Reassigns benefits to 3 organizations
Practice locations: Far Rockaway, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
W Rehabilitation Associates PT and OT PLLCGroup PAC ID 8426321951, 8 clinicians

Practice addresses (Care Compare)

165 Division Ave
Brooklyn, NY 11211-7105
Phone (718) 253-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037001NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associate PT PC CurrentSince Mar 28, 2017 Accepting new patients
W Rehabilitation Associates PT & OT PLLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 6, 2025 Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients
Rehabilitation Associates PT and OT, PLLC Physical Therapist Past Accepting new patients

Locations

165 Division Ave
Brooklyn, NY 11211
Phone (718) 253-8000

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

30 Park Ave
Ste 4
New York, NY 10016
Phone (718) 616-1450

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1124458385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 GOLF DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813520",
            "telephone_number": "917-363-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 GOLF DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813520",
            "telephone_number": "917-363-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKER",
        "first_name": "ARYEH",
        "middle_name": "LEIB",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.