Individual provider Active NPI

Diana Lynn Dickey, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1326080359
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01826 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(816) 943-4545
Fax
(816) 943-3119
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01826 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Mailing address

10701 Nall Ave
Suite 130
Overland Park, KS 66211-1363
Phone (913) 663-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140617000957 MO Practitioner - Physical Therapist in Private Practice 0749404572 Reassigns benefits to 1 organization
I20140623001156 KS Practitioner - Physical Therapist in Private Practice 0749404572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01826MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Jun 1, 2014 Accepting new patients
Sports Rehabilitation & Physical Therapy Associates Inc. Physical Therapist Past Accepting new patients
Sports Rehab Physical & Hand Therapy Past Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

2000 Kentucky Ave
Ste D
Platte City, MO 64079
Phone (816) 858-2368

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1326080359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111363",
            "telephone_number": "913-663-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-943-4545",
            "fax_number": "816-943-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.