Holly Dickinson, PT
Individual provider Active NPI Orthopedic Physical Therapist · Ottawa, KS
NPI 1124837786 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1124837786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 11-03838
- Practice address
- 1428 S Main St Ste 3
Ottawa, KS 66067-3547 - Phone
- (785) 229-8343
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | 11-03838 | Yes |
Addresses
Primary practice location
1428 S Main St Ste 3
Ottawa, KS 66067-3547
Mailing address
1428 S Main St Ste 3
Ottawa, KS 66067-3547
Other providers in Ottawa, KS
- Custom Dental of Ottawa, PA
- Dale D Dalenberg
- Joshua Dallman
- Julie E Dandreo
- Kinsy Joe Debolt
- Shawn M Dickinson
- Saige Marie Dixon-Peters
- Wendy Sue Dodd
- Jeffrey Doolittle
- Kristen Helen Dorsey
All providers in Ottawa, KS · Orthopedic Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.