Active NPI
Danielle Dixon, PTA
- Physical Therapist
- Southern Pines, NC
National Provider Identifier
1295285708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- A5179
- Practice address
- 205 SE Service Rd
Southern Pines, NC 28387-5057 - Phone
- (910) 684-4570
- NPI assigned
- Oct 7, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | A5179 | NC | Primary |
Addresses
Primary practice location
205 SE Service Rd
Southern Pines, NC 28387-5057
Mailing address
205 SE Service Rd
Southern Pines, NC 28387-5057
Phone (910) 684-4570
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 |
|---|---|---|---|
| A5179 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1295285708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SE SERVICE RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875057",
"telephone_number": "910-684-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SE SERVICE RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875057",
"telephone_number": "910-684-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DANIELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "A5179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.