Jeremy Raymond Dicus, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002554 Issued in OH

Practice address

Ohio University
Grover Center E207
Athens, OH 45701-2979

Phone

(740) 593-9497

NPI assigned

Feb 7, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518939057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 SHERIDAN DR",
            "address_2": "APARTMENT H",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301940",
            "telephone_number": "740-821-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OHIO UNIVERSITY",
            "address_2": "GROVER CENTER E207",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012979",
            "telephone_number": "740-593-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICUS",
        "first_name": "JEREMY",
        "middle_name": "RAYMOND",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "002554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne K Diaco, CDCA
• Meranda Dickens
• Bryant Dickerson
• Elyzabeth Dickerson
• Brooke Dickson, QMHS
• Charlotte Didonato, LPN
• Hannah Diehl, LSW
• Jonathan Andrew Digby, DO
• Benjamin Dikis
• Ashley N Dildine

• Athletic Trainer in Athens, OH
• Providers in Athens, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.