Active NPI
Paige Elizabeth Dwight Dickman, PT, DPT
- Physical Therapist
- Pine Brook, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02117100
- 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, 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | 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.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
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.