Miranda Nicole Dickerson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011628 Issued in OH

Practice address

3801 E Galbraith Rd
Cincinnati, OH 45236-1583

Phone

(513) 436-6699

NPI assigned

Dec 23, 2022

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1548972367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 ERIE AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082029",
            "telephone_number": "513-508-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361583",
            "telephone_number": "513-436-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary S Dickenherr, LMT
• Sandra E Dickens, MD
• Rebecca Dickerscheid, LISW-S
• Alison Ann Dickerson
• Carmen Dickerson
• Rhonda Dickerson, M.A. CCC-SLP
• Tyler Dickerson, PHARMD
• Cynthia Dickes, PTA
• Michelle D Dickey, RN, CNP
• Sara Lynn Dickey, LPC

• Occupational Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.