Charley N Dibble, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032468-1 Issued in NY

Practice address

23 Fish and Game Rd
Attn: Rehab
Hudson, NY 12534-3815

Phone

(518) 828-8704

Fax

(518) 828-8772

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1720302656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FISH AND GAME RD",
            "address_2": "ATTN: REHAB",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343815",
            "telephone_number": "518-828-8704",
            "fax_number": "518-828-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FISH AND GAME RD",
            "address_2": "ATTN: REHAB",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343815",
            "telephone_number": "518-828-8704",
            "fax_number": "518-828-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "CHARLEY",
        "middle_name": "N",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032468-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Hudson, NY
• Providers in Hudson, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.