Ruthellen Grace Dixon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014960 Issued in NY

Practice address

537 Banta Street
Progressive Rehab and Home Crae, PT&OT,PLLC
Ridgewood, NJ 07450

Phone

(201) 803-7008

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Front Range Pediatric Therapies LLC

  • Speech-Language Pathologist
  • Colorado Springs, CO
  • NPI 1649725763
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1154591253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 96TH ST",
            "address_2": "APT 3 F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256555",
            "telephone_number": "917-822-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 BANTA STREET",
            "address_2": "PROGRESSIVE REHAB AND HOME CRAE, PT&OT,PLLC",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-803-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "RUTHELLEN",
        "middle_name": "GRACE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dignam
• Anthony Dimitrion, LMSW
• Thomas Lee Dimitry, PH.D.
• Joseph John Diorio Jr., M.D.
• Marisa Distefano, LPC
• Ismar Dizdarevic, M.D.
• Igor Dmytrienko, MD
• Keith F Dockery, M.D.
• Kristin Doherty, LPC
• Melissa L. Donahue

• Occupational Therapist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.