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BENJAMIN LANE DICKERSON PT DPT ATC NPI 1477016327


NPI Information

NPI: 1477016327
Provider Name: BENJAMIN LANE DICKERSON, PT, DPT, ATC
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
3207 HILLIARD ROME RD
HILLIARD, OH
ZIP 43026
Phone: (614) 850-0680
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Benjamin Lane Dickerson, PT, DPT, ATC is a sports physical therapist in Hilliard, OH. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Benjamin Lane Dickerson, PT, DPT, ATC NPI is 1477016327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3207 HILLIARD ROME RD
HILLIARD, OH
ZIP 43026
Phone: (614) 850-0680

The enumeration date for this NPI number is 4/8/2019 and was last updated on 8/7/2019.


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
12251S0007XPhysical TherapistSports8403SOUTH CAROLINANo
22255A2300XSpecialist/TechnologistAthletic TrainerBOC154302SOUTH CAROLINANo
32251S0007XPhysical TherapistSportsPT.015069OHIOYes

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

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