Michelle Dicken, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE009975 Issued in PA

Practice address

6596 Orphanage Rd
Waynesboro, PA 17268-7804

Phone

(717) 762-6500

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jun 11, 2014.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1275947855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 RITCHEY RD",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155374406",
            "telephone_number": "814-207-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6596 ORPHANAGE RD",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172687804",
            "telephone_number": "717-762-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Coreen Criollo Zambrano, CRNP
• Patricia Lynn Curley, CRNP
• Terry L Davis, PHARM.D.
• Cheryl Lynn Deal
• Nikki L Deboer, CRNP
• Elaina J Diggs, APRN-CNP
• Dohi Center for Well-Being
• Dennis Dolsen, PA-C
• Dr Richard D Myers LTD
• Brandon Draugelis, PTA

• All providers in Waynesboro, PA
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.