Michelle A. Dillon, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT001635 Issued in KY

Practice address

497 Tucker Dr
Maysville, KY 41056-9111

Phone

(606) 759-4678

Fax

(606) 759-4834

NPI assigned

Jul 8, 2005

Sex

Female

Sole proprietor

No

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.

• Progressive Therapeutics, P.S.C.

  • Specialist
  • Maysville, KY
  • NPI 1841298452
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194723700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4678",
            "fax_number": "606-759-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4678",
            "fax_number": "606-759-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "PT001635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "6214",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000049626",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87016358",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Denham, ED.S
• William Craig Denham, MD
• Joseph Randall Dennison, M.D.
• Dialysis Clinic Inc.
• Jeffrey W Dickerson, MD
• Patrick A Dillon, P.T.
• David W Doty, D.O.
• Mary Kay Doughman, CSW
• Carrie Downs, BA
• April Doyle

• All providers in Maysville, KY
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.