Active NPI
Jonathan T Dickey, DPT
- Physical Therapist
- Orange, CA
National Provider Identifier
1700328127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292520
- Practice address
- 4201 W Chapman Ave
Orange, CA 92868-1505 - Phone
- (714) 748-7622
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 292520 | CA | Primary |
Addresses
Primary practice location
4201 W Chapman Ave
Orange, CA 92868-1505
Mailing address
4201 W Chapman Ave
Orange, CA 92868-1505
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292520 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1700328127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681505",
"telephone_number": "714-748-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "JONATHAN",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-16",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.