Individual provider Active NPI

Dustin Curtis Dixon, DPT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1184910283
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07570 Issued in LA
Practice address
842 Collins Blvd
Covington, LA 70433-2759
Phone
(318) 613-1945
NPI assigned
Jun 27, 2011
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 07570 LA Primary

Addresses

Primary practice location

842 Collins Blvd
Covington, LA 70433-2759

Mailing address

PO Box 1627
Covington, LA 70434-1627
Phone (318) 613-1945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000299 LA Practitioner - Physical Therapist in Private Practice 4587832332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limitless Physical Therapy LLCGroup PAC ID 8921332735, 2 clinicians

Practice addresses (Care Compare)

72719 Hwy 1077
Covington, LA 70433-0855
Phone (985) 900-2365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07570LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Dynamic Physical Therapy Services LLC Physical Therapist CurrentSince Oct 24, 2018 Accepting new patients
Thibodeaux Orthopedic Clinic, Inc. Physical Therapist Past Accepting new patients
Thibodaux Orthopaedic and Sports Medicine Clinic Past Accepting new patients

Locations

653 Myrtle Dr
Covington, LA 70433
Phone (985) 893-4700

842 Collins Blvd
Covington, LA 70433
Phone (318) 613-1945

7520 Westbank Expy
Ste D
Marrero, LA 70072
Phone (504) 371-4226

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1184910283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704341627",
            "telephone_number": "318-613-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 COLLINS BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332759",
            "telephone_number": "318-613-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DUSTIN",
        "middle_name": "CURTIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.