Maria Dickens, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT010437 Issued in OH

Practice address

200 S Keowee St
Dayton, OH 45402-2242

Phone

(937) 225-4598

NPI assigned

Jul 10, 2019

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Montgomery County Educational Service Center

  • Local Education Agency (LEA)
  • Dayton, OH
  • NPI 1053447052
  NPD (past)
• Montgomery County Educational Service Center

  • Local Education Agency (LEA)
  • Dayton, OH
  • NPI 1457590101
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1194377192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S KEOWEE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KEOWEE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022242",
            "telephone_number": "937-225-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "MARIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.wade@mcesc.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Montgomery County Educational Service Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 S Keowee St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454022242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marissa Dibenedetto
• Lindsay Marie Diberardo, DO
• Joseph D. Dicicco III, D. O.
• Luke Anthony Dicicco
• Madelyn Kay Dickens, R.N.
• Andree Glanette Dickerson, LPN
• Daveon Dickerson
• Jalen Dickerson
• Jamila Eshe Dickerson, RN
• Kaela Dickerson

• Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.