Individual provider Active NPI

Tanya Mary Dickson, DPT

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1215214937
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23872 Issued in MD
Practice address
2618 N Salisbury Blvd Ste 130
Salisbury, MD 21801-2217
Phone
(410) 324-7409
Fax
(410) 844-4588
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 23872 MD Primary

Addresses

Primary practice location

2618 N Salisbury Blvd Ste 130
Salisbury, MD 21801-2217

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120307000268 MD Practitioner - Physical Therapist in Private Practice 0547429706 Reassigns benefits to 3 organizations
I20200611000613 DC Practitioner - Physical Therapist in Private Practice 0547429706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Physical Therapy, LLC 4 clinicians

Practice addresses (Care Compare)

329 Tilghman Rd
Suite 200
Salisbury, MD 21804-2078
Phone (443) 203-8522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23872MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Physical Therapy, LLC Physical Therapist CurrentSince Mar 2, 2024 Accepting new patients
Syracuse Physical Therapy Partners CurrentSince Jun 9, 2024 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients
Dickson Physical Therapy, LLC Current Accepting new patients
Dickson Physical Therapy, LLC PastSince Mar 2, 2024 Accepting new patients
Coastal Physical Therapy & Sports Medicine LLC PastSince Dec 29, 2008 Accepting new patients
Sports Physical Therapy of Towson, P.a. Physical Therapist PastSince Oct 1, 1994 Accepting new patients

Locations

15 Fallon Ave
Seaford, DE 19973
Phone (302) 536-1774

314 Franklin Ave
Ste 501
Berlin, MD 21811
Phone (410) 228-5100

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

401 Marvel Ct
Easton, MD 21601
Phone (410) 820-4449

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

2618 N Salisbury Blvd
Ste 130
Salisbury, MD 21801
Phone (410) 324-7409

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

329 Tilghman Rd
Ste 200
Salisbury, MD 21804
Phone (443) 203-8522

321 Tilghman Rd
Ste 201
Salisbury, MD 21804
Phone (410) 334-6166

7801 York Rd
Ste 236
Towson, MD 21204
Phone (410) 583-0333

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1215214937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 N SALISBURY BLVD STE 130",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012217",
            "telephone_number": "410-324-7409",
            "fax_number": "410-844-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "TANYA",
        "middle_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.