Provider Type Icon

MRS. JENNIFER RENEE DICICCO DPT NPI 1255584330


NPI Information

NPI: 1255584330
Provider Name: MRS. JENNIFER RENEE DICICCO, DPT
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28211
Phone: (703) 304-0620
Get Directions

MRS. Jennifer Renee Dicicco, DPT is a pediatrics physical therapist in Charlotte, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. MRS. Jennifer Renee Dicicco, DPT NPI is 1255584330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28211-297
Phone: (703) 304-0620
Fax: (704) 304-0620

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical Therapist2305205704VIRGINIANo
22251P0200XPhysical TherapistPediatricsP12753NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.