Alicia Faye Dittrich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1334079 Issued in TX

Practice address

1500 Jackson St Ste 400
Richmond, TX 77469-3250

Phone

(812) 344-8900

Fax

(281) 344-8926

NPI assigned

Jun 7, 2021

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Rehab League CityGroup PAC ID 0648161281, 5 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 and National Provider Directory roles.

• Hope Rehab League City

  dba Hope Rehab and Aquatic Therapy

  • Physical Therapy Clinic/Center
  • League City, TX
  • NPI 1821080938

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• PT Care Specialists LLC

  dba Physical Therapy Care Of Fort Bend

  • Physical Therapy Clinic/Center
  • Richmond, TX
  • NPI 1396319836

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1144897364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693250",
            "telephone_number": "812-344-8900",
            "fax_number": "281-344-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693250",
            "telephone_number": "812-344-8900",
            "fax_number": "281-344-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26440 Fm 1093 Rd Ste A180",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774067213",
            "country_code": "US",
            "telephone_number": "281-347-8900",
            "fax_number": "281-347-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTRICH",
        "first_name": "ALICIA",
        "middle_name": "FAYE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1334079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26440 Fm 1093 Rd Ste A180",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774067213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Jackson St Ste 400",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Richmond, TX
• Providers in Richmond, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.