Active NPI
Nicole Caruso Dickson, PT
- Physical Therapist
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18276
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514 - Phone
- (984) 974-5300
- NPI assigned
- Jul 30, 2012
- 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 | P18276 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514
Mailing address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-5300
Other practice location 1
1409 W Georgia Rd
Ste C
Simpsonville, SC 29680-6419
Phone (864) 454-5012
Other practice location 2
12473 S Minuteman Dr
Draper, UT 84020-7870
Phone (801) 495-7950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Mason Farm Rd
Chapel Hill, NC 27599-6134
Phone (984) 215-5130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18276 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Physical Therapist | Current | Accepting new patients |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
102 Mason Farm Rd
Chapel Hill, NC 27599
Phone (919) 966-1459
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164
5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183
Organizations & group practices 5
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.
-
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1245633387
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1326394149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27514",
"telephone_number": "984-974-5300"
}
],
"practiceLocations": [
{
"address_1": "1409 W Georgia Rd",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296806419",
"country_code": "US",
"telephone_number": "864-454-5012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12473 S Minuteman Dr",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840207870",
"country_code": "US",
"telephone_number": "801-495-7950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKSON",
"first_name": "NICOLE",
"middle_name": "CARUSO",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.