Active NPI
Olivia Dicus, MS, OTR/L
- Occupational Therapist
- Paris, TN
National Provider Identifier
1659150159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7777
- Practice address
- 317 Tyson Ave
Paris, TN 38242-4567 - Phone
- (731) 407-9114
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7777 | TN | Primary |
Addresses
Primary practice location
317 Tyson Ave
Paris, TN 38242-4567
Mailing address
317 Tyson Ave
Paris, TN 38242-4567
Phone (731) 407-9114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7777 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1659150159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 TYSON AVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424567",
"telephone_number": "731-407-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 TYSON AVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424567",
"telephone_number": "731-407-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICUS",
"first_name": "OLIVIA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "7777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.