Taylor Layne Dickerson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3586 Issued in NM

Practice address

1181 Mall Dr
Las Cruces, NM 88011-8105

Phone

(575) 522-0766

NPI assigned

Oct 7, 2008

Sex

Male

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 FL

Enrollment records 1

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 and National Provider Directory roles.

• Center for Orthopedic and Sports Physical Therapy P a

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1114001377
  Medicare reassignment NPD
• Southwest Sport and Spine Center Inc

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1164475208
  NPD (past)
• Real View Diagnostics LLC

  • Physical Therapist
  • Canutillo, TX
  • NPI 1336882026
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1962653014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 SILVER SAGE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114179",
            "telephone_number": "918-814-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 MALL DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118105",
            "telephone_number": "575-522-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TAYLOR",
        "middle_name": "LAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah A Diaz, BT
• Tress Diaz
• Megan Dickens
• Isabella M Dickerson
• Nathan Charlton Dickerson, D.D.S.
• Amber Carrie Diego, MA., CCC-SLP
• Carrie Alissa Dieker, M.D.
• Digestive Disease Consultants of Las Cruces LLC
• Timothy T Dillen
• Darcie Dillon

• Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.