Ian Vebert Malvar Dickman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022431-1 Issued in NY

Practice address

70 Prospect Park SW Apt C5
Brooklyn, NY 11215-5981

Phone

(917) 862-1943

NPI assigned

Mar 18, 2009

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1649411711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PROSPECT PARK SW APT C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PROSPECT PARK SW APT C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155981",
            "telephone_number": "917-862-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "IAN VEBERT",
        "middle_name": "MALVAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022431-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley J Dickerson, M.D.
• Thomas Jay Dickert, D.C.
• Nitasha Rae Dickes, BCBA, PLMHP
• Eitan Dickman, M.D.
• Grace Dickman, LMSW, LCSW
• John Andrew Dickman, LMSW
• Gwendolyn Dickson, LCSW
• Idongesit Dickson, OTR/L
• Leslie Augustus Dickson, LPN
• Ruth Dickson

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.