Eliza B Dick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011731A Issued in IN

Practice address

2002 W 86TH St
Indianapolis, IN 46260-1903

Phone

(317) 872-8811

NPI assigned

Jul 10, 2015

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1568846384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BROADWAY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023781",
            "telephone_number": "847-363-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601903",
            "telephone_number": "317-872-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 E Stop 11 Rd",
            "address_2": "Ste. B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462379100",
            "country_code": "US",
            "telephone_number": "317-859-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "ELIZA",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011731A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ray Diaz, MD
• Jerad Diaz, PA-C
• Jessica L Diaz, MSW
• Paolo Ricardo Ruiz Diaz
• Brooklyn Jo Dick, LSW
• Jonathan Dick, MD
• William Henry Dick, M.D.
• Karen T Dicke, MD
• Timothy E Dicke, MD
• Kayla Dickelman, RBT

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.