MRS. JENNIFER RENEE DICICCO DPT
NPI 1255584330
Physical Therapist - Pediatrics in Charlotte, NC

Q: What is Jennifer Dicicco's NPI number?

The NPI number for Jennifer Dicicco is 1255584330. It was assigned to this individual provider in the NPPES registry on November 3, 2008. The provider is also known as Jennifer Renee Manetti.

Q: What is Jennifer Dicicco's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Dicicco was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 03, 2008

4501 CAMERON VALLEY PKWY, SUITE 300, CHARLOTTE, NC 28211(703) 304-0620(704) 304-0620 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jennifer Renee Dicicco Dpt NPPES

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

MRS. JENNIFER RENEE DICICCO DPT (NPI 1255584330) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (P12753) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1255584330

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. JENNIFER RENEE DICICCOCredential: DPT

Location Address4501 CAMERON VALLEY PKWY, SUITE 300Charlotte, NC 28211-4297

Mailing Address1100 Blythe BlvdCharlotte, NC 28203-5814 · (704) 304-0620 · Fax (704) 304-0621

Phone(703) 304-0620

Fax(704) 304-0620

Sole ProprietorNo

Enumeration DateNovember 3, 2008

Last NPPES UpdateNovember 5, 2012

✔ NPI 1255584330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in NC · P12753

Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X · License 2305205704 (VA)

4501 CAMERON VALLEY PKWY, Charlotte, NC 28211

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Other Names 1

Former Name (1)Jennifer Renee Manetti

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

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

DAVID JERRET PUBANTZ MD

Pediatrics

4501 CAMERON VALLEY PKWY, STE 200-B
CHARLOTTE, NC 28211

Mecklenburg County (704) 381-0500

HENRY SMITH

Pediatrics

4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211

Mecklenburg County (704) 367-7400

STEPHANIE PETTUS KWON MD

Pediatrics

4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211

Mecklenburg County (704) 367-7400

MEDCARERX INC

Pharmacy (Community/Retail Pharmacy)

4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211

Mecklenburg County (704) 367-7440

CAROLINAS MEDICAL CENTER-NORTHEAST

Pediatrics (Developmental - Behavioral Pediatrics)

4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211

Mecklenburg County (704) 403-2626

ANNA TAYLOR SCHMELZER MD

Pediatrics

4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211

Mecklenburg County (704) 367-7400

STEFANIE ANN KIENKER FNP

Nurse Practitioner (Family)

4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC 28211

Mecklenburg County (704) 381-6255

JAKUB MIESZCZAK MD

Pediatrics (Pediatric Endocrinology)

4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211

Mecklenburg County (704) 512-3636

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 Jennifer Dicicco's NPI number?

The NPI number for Jennifer Dicicco is 1255584330. It was assigned to this individual provider in the NPPES registry on November 3, 2008. The provider is also known as Jennifer Renee Manetti.

Where is Jennifer Dicicco located?

Jennifer Dicicco practices at 4501 Cameron Valley Pkwy Suite 300, Charlotte, NC 28211. The listed phone number is (703) 304-0620.

What is Jennifer Dicicco's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Jennifer Dicicco accept?

Health plans from Blue Cross and Blue Shield of NC list Jennifer Dicicco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Dicicco was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.