Cambri Dickerson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

12354645-4202 Issued in UT

Practice address

5284 S Commerce Dr Ste C214
Murray, UT 84107-5568

Phone

(549) 280-1871

NPI assigned

Oct 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1265250807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 W CANNON PARK LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959328",
            "telephone_number": "801-205-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 S COMMERCE DR STE C214",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075568",
            "telephone_number": "549-280-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "CAMBRI",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "12354645-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline M. Devlin, MD
• Dexa Body Inc
• Ritesh Dhar, M.D.
• Justine Diaz
• Sydney Kristine Diaz, PHARMD, MBA
• Thomas Dickman, LCSW
• Kathleen Dienes I
• David G Dienhart, MD
• Natoshia Diffendaffer, PTA, CLT-LANA
• Amy K Dilworth, LCSW

• Occupational Therapy Assistant in Murray, UT
• Providers in Murray, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.