Zion Dixon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2612 Issued in ID

Practice address

979 E Deerhaven Ave
Dalton Gardens, ID 83815-9537

Phone

(208) 819-4327

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower Therapy Services

  • Occupational Therapist
  • Dalton Gardens, ID
  • NPI 1144918434
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1578258158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E DEERHAVEN AVE",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159537",
            "telephone_number": "208-819-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E DEERHAVEN AVE",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159537",
            "telephone_number": "208-819-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ZION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Alyssa Burgheimer
• Cda Counseling Services
• Jenna De Guzman, OTD, OTR/L
• Diversified Social Services, Inc.
• Diversified Social Services, Inc.
• Elevate208 Physical Therapy
• Empower Therapy Services
• Collin Hubbard
• Matthew E Kifer, DPT
• Lean on Me Chiropractic LLC

• Occupational Therapist in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.