Individual provider Active NPI

Nicole Caruso Dickson, PT

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1326394149
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18276 Issued in NC
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

Updated by the provider on Jun 21, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220621000953 NC Practitioner - Physical Therapist in Private Practice 6507013034 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
P18276NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince May 5, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince May 5, 2022 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.

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.

Verify at the official NPI Registry.