Active NPI
Aimee Levine-Dickman, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1295106771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9057
- Practice address
- 10780 Santa Monica Boulevard, Ste. 105
The Camden Center
Los Angeles, CA 90025 - Phone
- (310) 745-2621
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9057 | CA | Primary |
Addresses
Primary practice location
10780 Santa Monica Boulevard, Ste. 105
The Camden Center
Los Angeles, CA 90025
Mailing address
1122 6TH St Apt 202
Santa Monica, CA 90403-5168
Phone (310) 745-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9057 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1295106771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 6TH ST APT 202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035168",
"telephone_number": "310-745-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BOULEVARD, STE. 105",
"address_2": "THE CAMDEN CENTER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-745-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE-DICKMAN",
"first_name": "AIMEE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.