Idongesit Dickson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

490 New York Ave Apt 6a
Brooklyn, NY 11225-4278

Phone

(646) 725-9133

NPI assigned

Aug 19, 2010

Last updated

Apr 22, 2022By 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

Enrolled in NY

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.

• At Your Doorstep OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1073371902
  Medicare reassignment NPD
• Homeside Rehab, PT, OT, SLP LLC

  • Physical Therapy Clinic/Center
  • Monsey, NY
  • NPI 1023258431
  Medicare reassignment NPD

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1811203433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NEW YORK AVE APT 6A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NEW YORK AVE APT 6A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254278",
            "telephone_number": "646-725-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "IDONGESIT",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eitan Dickman, M.D.
• Grace Dickman, LMSW, LCSW
• Ian Vebert Malvar Dickman
• John Andrew Dickman, LMSW
• Gwendolyn Dickson, LCSW
• Leslie Augustus Dickson, LPN
• Ruth Dickson
• Shanda Dickson, RN
• Darcey Dicostanzo, LCSW
• Jordan Maris Dictrow

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.