Scott Dickerson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

10 Parsonage Rd Ste 508
Edison, NJ 08837-2475

Phone

(732) 906-1144

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 FOX PL",
            "city": "S PLAINFIELD",
            "state": "NJ",
            "postal_code": "070801534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372475",
            "telephone_number": "732-906-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "40QB00161000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Rehab Center LLC
• Daniel Diamond, OD
• Diane N Dias, PA
• Alice Antonetta Dibenedetto, M.D.
• McKenna Mary Dick, OTR/L
• Adrian Alberto Diez, MD
• Yifeng Ding, MD
• Carol Anna Dinnocenzio, DNP, APN
• Frank Ralph Dipasquale, DC
• Direct Pain Care LLC

• Physical Therapy Assistant in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapy Assistant in New Jersey

• 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.