Individual provider Active NPI

Robert Dykeman, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1821547415
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01658100 Issued in NJ
Practice address
1755 Wittington PL
Suite #175
Dallas, TX 75234-1927
Phone
(866) 221-5405
NPI assigned
Sep 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01658100 NJ Primary

Addresses

Primary practice location

1755 Wittington PL
Suite #175
Dallas, TX 75234-1927

Mailing address

1755 Wittington PL
Suite #175
Dallas, TX 75234-1927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202002150 NJ Practitioner - Physical Therapist in Private Practice 1557621968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physical Therapy ServicesGroup PAC ID 0648206029, 17 clinicians

Practice addresses (Care Compare)

1900 Arena Dr
Hamilton, NJ 08610-2426
Phone (609) 585-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01658100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy Services Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients
Hamilton Physical Therapy Services Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1821547415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 WITTINGTON PL",
            "address_2": "SUITE #175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752341927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WITTINGTON PL",
            "address_2": "SUITE #175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752341927",
            "telephone_number": "866-221-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKEMAN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01658100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.