Rashan Jamila Dickinson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7595 Issued in GA

Practice address

3160 Main St Ste 103
Duluth, GA 30096-3461

Phone

(404) 955-7202

NPI assigned

Jan 4, 2008

Last updated

Nov 10, 2024By 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 2

Addresses

Other names 1

• Dr. Rashan Jamila White Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrum Therapy Services, LLC

  • Occupational Therapist
  • Lawrenceville, GA
  • NPI 1154036242
  NPD Authorized official
• Educational Based Services

  dba EBS Early Intervention

  • Early Intervention Provider Agency
  • West Chester, PA
  • NPI 1326092602

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1770768087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 103",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "404-955-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 103",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "404-955-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "RASHAN",
        "middle_name": "JAMILA",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006956",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "7595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASHAN",
            "last_name": "WHITE",
            "middle_name": "JAMILA",
            "prefix": "DR.",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diabetes and Hypertension Center
• Dialysis Care Center Duluth LLC
• Esther Diaz Doppelhammer
• Yajaira Vanessa Diaz Sr.
• William Napier Dick, DDS
• Diane Umutoni Diego
• Craig Andrew Dike, PSY.D.
• Dejanae Dilworth, PA(ASCP)
• Sara B Dilworth, M.ED
• Hassieb Din, MD

• Occupational Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.