Individual provider Active NPI

Ramona Barrett Dickson, LMP

  • Mechanotherapist
  • Lakebay, WA
National Provider Identifier
1720205883
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00011842 Issued in WA
Practice address
8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326
Phone
(360) 790-3812
Fax
(253) 884-2632
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA00011842 WA Primary

Addresses

Primary practice location

8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326

Mailing address

8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326
Phone (360) 790-3812

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

State licenses

LicenseStateTypeSpecialty
MA00011842WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1720205883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "360-790-3812",
            "fax_number": "253-884-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "360-790-3812",
            "fax_number": "253-884-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "RAMONA",
        "middle_name": "BARRETT",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00011842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakebay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.