Active NPI
Ann Marie Dickey, P.T.
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1174734396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3892
- Practice address
- 2719 N Union Blvd
Colorado Springs, CO 80909-1145 - Phone
- (719) 636-1676
- NPI assigned
- May 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3892 | CO | Primary |
Addresses
Primary practice location
2719 N Union Blvd
Colorado Springs, CO 80909-1145
Mailing address
2918 Country Club Dr
Colorado Springs, CO 80909-1021
Phone (719) 659-0114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3892 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445644800000",
"number": "1174734396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 COUNTRY CLUB DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091021",
"telephone_number": "719-659-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091145",
"telephone_number": "719-636-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-28",
"last_updated": "2015-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "3892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.