Cameron Dixon, DPT
Individual provider Active NPI Physical Therapist · Middletown, DE
NPI 1831801661 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1831801661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0014621 (DE)
- Practice address
- 834 Kohl Ave
Middletown, DE 19709-4703 - Phone
- (302) 834-8400
- NPI assigned
- Dec 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Physical Therapy
Practice addresses (Care Compare)
834 Kohl Ave
Middletown, DE 19709-4703
Phone (302) 834-8400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230124000960 | DE | Practitioner - Physical Therapist in Private Practice | 1658742994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0014621 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
834 Kohl Ave
Middletown, DE 19709
Phone (302) 545-3987
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0014621 | DE | Yes |
Addresses
Primary practice location
834 Kohl Ave
Middletown, DE 19709-4703
Mailing address
38 Hunting Ridge Rd
Newark, DE 19702-3716
Phone (302) 419-8239
Other providers in Middletown, DE
- Kassidy Diaz
- Lisa Dickinson
- Dih Camp
- Divine Alignment Counseling & Coaching LLC
- Lorna A Divino
- Janice Dixon
- Naa Dodoo
- Nicole Don
- Quinn Donohoe
- Rebecca L Dooling
All providers in Middletown, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.