Active NPI
Rhuel Dickinson III, DPT
- Physical Therapist
- Forest, MS
National Provider Identifier
1992317804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1151 Highway 35 S
Forest, MS 39074-8829 - Phone
- (601) 469-2732
- NPI assigned
- Aug 21, 2020
- 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 | Primary |
Addresses
Primary practice location
1151 Highway 35 S
Forest, MS 39074-8829
Mailing address
100 Pioneer Way
Magee, MS 39111-5501
Phone (601) 849-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6907 | Other | MS | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1992317804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PIONEER WAY",
"city": "MAGEE",
"state": "MS",
"postal_code": "391115501",
"telephone_number": "601-849-6440",
"fax_number": "601-849-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 HIGHWAY 35 S",
"city": "FOREST",
"state": "MS",
"postal_code": "390748829",
"telephone_number": "601-469-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "RHUEL",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6907",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.