Katie E Dixon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023673 Issued in IL

Practice address

4227 Maray Dr Ste 3
Rockford, IL 61107-4977

Phone

(815) 608-2592

Fax

(815) 339-0329

NPI assigned

Nov 13, 2018

Last updated

Jan 16, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Motion Physical Therapy. PLLC

  • Physical Therapist
  • Rockford, IL
  • NPI 1891566097
  NPD Authorized official
• Accelerated Rehabilitation Centers, LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Rockford, IL
  • NPI 1295129328
  NPD (past)

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821567470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114448",
            "telephone_number": "156-082-5928",
            "fax_number": "815-339-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MARAY DR STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074977",
            "telephone_number": "815-608-2592",
            "fax_number": "815-339-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082644",
            "country_code": "US",
            "telephone_number": "815-397-4439",
            "fax_number": "815-397-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KATIE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie F Distrito, PT
• Emily Ditsch, DPT
• Helen Dittmer, MSN, DNS-CT, RN
• Carly Renee Ditto
• Cristina Diventi, LSW
• Tiniya Dixon
• DLX Medical Group Inc
• Vitaliy Dobrogorskiy, DC
• Jennifer Marie Dobson, C.N.M.
• Sheila Marie Dock, LSW

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.