Katibelle Maria Dicker, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3526 Issued in NV

Practice address

2850 W Horizon Ridge Pkwy Ste 330
Henderson, NV 89052-4395

Phone

(702) 564-4116

NPI assigned

Aug 22, 2024

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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dignity Select Nevada LLC

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1710446281
  Medicare reassignment NPD
• Dignity Select Nevada LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1053870527
  NPD
• Dignity Select Nevada, LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1821962572
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1245063585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W HORIZON RIDGE PKWY STE 330",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524395",
            "telephone_number": "702-564-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W HORIZON RIDGE PKWY STE 330",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524395",
            "telephone_number": "702-564-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKER",
        "first_name": "KATIBELLE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Dibella
• Mayra Andrea Dibetta
• Anthony Robert Dicamillo, D.O.
• Richard Dicarlo
• Kartika Dickens, LMFT
• Amber Dickerson, ARNP
• Delavante Dickerson, RBT
• Brooke Melanie Dickinson
• Shameka Dickson
• Taylor Dickson

• Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.