Nicole Elizabeth Dierkes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213920 Issued in VA

Practice address

225 Reinekers LN Ste GR4
Alexandria, VA 22314-2871

Phone

(703) 299-3111

NPI assigned

Sep 20, 2020

Last updated

Sep 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Solutions Physical Therapy & Sports Medicine, LLC

  dba Full Strength Physical Therapy

  • Physical Therapist
  • Alexandria, VA
  • NPI 1144486549

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1720694219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 MINTON DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321134",
            "telephone_number": "703-220-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 REINEKERS LN STE GR4",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142871",
            "telephone_number": "703-299-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKES",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dicad Consulting Corp (Collaborative People)
• Brenna Martin Dicks, ESQ.
• Dickson Dental, PC
• Farida Arrabel Diego, FNP-C
• Dean Tu Diep
• Marie Elizabeth Dierks, D.O.
• Dietetic Consultants of Northern Virginia, LLC
• Anne Marie Dietrich, M.D.
• Digestive Disease Physicians, P.C.
• Digestive Health Associates PC

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.