Alton Aaron Dickson, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0530 Issued in NM

Practice address

4801 N. Butler, Suite 2000 and Guardian Angel
Farmington, NM 87401

Phone

(505) 564-9002

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Guardian Angel Home Health, Inc

  dba Guardian Angel Home Health and Hospice

  • Community Based Hospice Care Agency
  • Farmington, NM
  • NPI 1134367717
  NPD (past)
• Guardian Angel Home Health, Inc.

  dba Guardian Angel Home Health

  • Home Health Agency
  • Farmington, NM
  • NPI 1588742712
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1972793966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX # 15012",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-564-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N. BUTLER, SUITE 2000 AND GUARDIAN ANGEL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-564-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "ALTON",
        "middle_name": "AARON",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gustad Devitre, DO
• Luke Randall Dewitt, DPT
• Taylor Dexel
• Tejwant Singh Dhillon, M.D.
• Diane W Williams PSYD PC D/B/a Integrative Mental Health
• Richard Grenville Diedrich, MD
• Kyra Diffey, LCSW
• Devon Dillon, LAMFT
• Cameron Dobey, CPSW
• Janet Dodson, LCSW

• Physical Therapy Assistant in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.