Active NPI
Angie Chantel Dickinson-Pannone, P.T.
- Orthopedic Physical Therapist
- North Haledon, NJ
National Provider Identifier
1811147077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA00863100
- Practice address
- 7 Walnut CT
North Haledon, NJ 07508-3148 - Phone
- (551) 427-9862
- Fax
- (973) 427-5227
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA00863100 | NJ | Primary |
| Physical Therapist | 225100000X | 40QA00863100 | NJ |
Addresses
Primary practice location
7 Walnut CT
North Haledon, NJ 07508-3148
Mailing address
7 Walnut CT
North Haledon, NJ 07508-3148
Phone (551) 427-9862
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Rehab Consultants, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Englewood Cliffs, NJ
- NPI 1750458782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309737600000",
"number": "1811147077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WALNUT CT",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075083148",
"telephone_number": "551-427-9862",
"fax_number": "973-427-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WALNUT CT",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075083148",
"telephone_number": "551-427-9862",
"fax_number": "973-427-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON-PANNONE",
"first_name": "ANGIE",
"middle_name": "CHANTEL",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2011-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA00863100",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00863100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.