Active NPI
Todd Marcus Dickneite, PT
- Physical Therapist
- Festus, MO
National Provider Identifier
1851400501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 116475
- Practice address
- 376 Festus Center Drive
Festus, MO 63028 - Phone
- (636) 931-2100
- Fax
- (636) 931-2300
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 116475 | MO | Primary |
Addresses
Primary practice location
376 Festus Center Drive
Festus, MO 63028
Mailing address
4472 Saddle Mt
St Louis, MO 63129
Phone (314) 892-3937
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116475 | MO | MD | Physical Therapist |
Interoperability endpoints
- todd.dickneite.p2@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851400501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4472 SADDLE MT",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-892-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 FESTUS CENTER DRIVE",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "636-931-2100",
"fax_number": "636-931-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKNEITE",
"first_name": "TODD",
"middle_name": "MARCUS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "116475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.