Individual provider Active NPI

Paige Elizabeth Dwight Dickman, PT, DPT

  • Physical Therapist
  • Pine Brook, NJ
National Provider Identifier
1689399388
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02117100 Issued in NJ
Practice address
43 US Highway 46 Ste 706
Pine Brook, NJ 07058-9185
Phone
(973) 556-8465
NPI assigned
Oct 5, 2022
Last updated
Sep 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02117100 NJ Primary

Addresses

Primary practice location

43 US Highway 46 Ste 706
Pine Brook, NJ 07058-9185

Mailing address

1700 Rachel Ter Apt 19
Pine Brook, NJ 07058-9305
Phone (732) 895-3852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202003018 NJ Practitioner - Physical Therapist in Private Practice 4486026358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients

Locations

64 River Rd
East Hanover, NJ 07936
Phone (973) 428-1050

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

137 Main Rd
Fl 2
Montville, NJ 07045
Phone (973) 917-3682

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1689399388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RACHEL TER APT 19",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589305",
            "telephone_number": "732-895-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 US HIGHWAY 46 STE 706",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589185",
            "telephone_number": "973-556-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIGHT DICKMAN",
        "first_name": "PAIGE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02117100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.