1. Home
  2. Directory
  3. Michigan
  4. Wayne
  5. Specialist Technologist
  6. NPI Profile

MAX ROBERT DICKERSON ATC
NPI 1205339728
Specialist/Technologist - Athletic Trainer in Wayne, MI

Active since March 11, 2018
3999 VENOY RD, WAYNE, MI 48184(734) 727-0440 Get Directions Write a Review

NPPES record last updated: March 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Max Robert Dickerson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX ROBERT DICKERSON ATC (NPI 1205339728) is an individual athletic trainer provider in Wayne, Michigan, licensed in Michigan (L946620) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1205339728
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMAX ROBERT DICKERSONCredential: ATC
Location Address3999 VENOY RDWayne, MI 48184-1485
Mailing Address15905 Foch StLivonia, MI 48154-3485 · (248) 872-9226
Phone(734) 727-0440
Sole ProprietorNo
Enumeration DateMarch 11, 2018
✔ NPI 1205339728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MI · L946620
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
3999 VENOY RD, Wayne, MI 48184
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAPLE MANOR REHABILITATION CENTER LLC
Skilled Nursing Facility
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
PAULA MCELMEEL OTRL
Occupational Therapist
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
STEVEN MARC BANKS
Occupational Therapist
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
EMILY SAFAH
Physical Therapy Assistant
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
DOREEN DOPLAYNA PAPA
Physical Therapist
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
JAMES SAUER PTA
Physical Medicine & Rehabilitation
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
ROMMEL PATRICK BROWN CADORNA RPT
Physical Therapist (Geriatrics)
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440
LORETTA ANN SUMNER
Occupational Therapy Assistant
3999 VENOY RD
WAYNE, MI 48184
Wayne County (734) 727-0440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Dickerson's NPI number?

The NPI number for Max Dickerson is 1205339728. It was assigned to this individual provider in the NPPES registry on March 11, 2018.

Where is Max Dickerson located?

Max Dickerson practices at 3999 Venoy Rd, Wayne, MI 48184. The listed phone number is (734) 727-0440.

What is Max Dickerson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Max Dickerson was last updated on March 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.