Active NPI
Michelle Marie Dickey, P.T.A.
- Physical Therapy Assistant
- Greenville, OH
National Provider Identifier
1205136504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 04462
- Practice address
- 5162 Children's Home Bradford Rd.
Amedisys Home Health Care
Greenville, OH 45331 - Phone
- (937) 316-8155
- NPI assigned
- Nov 2, 2010
- Last updated
- Nov 2, 2010
- 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 Therapy Assistant | 225200000X | 04462 | OH | Primary |
Addresses
Primary practice location
5162 Children's Home Bradford Rd.
Amedisys Home Health Care
Greenville, OH 45331
Mailing address
5162 Children's Home Bradford Rd.
Amedisys Home Health Care
Greenville, OH 45331
Phone (937) 316-8155
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04462 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1205136504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5162 CHILDREN'S HOME BRADFORD RD.",
"address_2": "AMEDISYS HOME HEALTH CARE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "45331",
"telephone_number": "937-316-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5162 CHILDREN'S HOME BRADFORD RD.",
"address_2": "AMEDISYS HOME HEALTH CARE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "45331",
"telephone_number": "937-316-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "04462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.