EVANN DICKERSON DPT
NPI 1346854528
Physical Therapist in Venice, FL
About Evann Dickerson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVANN DICKERSON DPT (NPI 1346854528) is an individual physical therapist in Venice, Florida, licensed in Florida (PT36200) and active in the NPI registry since September 2020.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evann Dickerson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evann Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evann Dickerson's NPI number?
The NPI number for Evann Dickerson is 1346854528. It was assigned to this individual provider in the NPPES registry on September 3, 2020.
Where is Evann Dickerson located?
Evann Dickerson practices at 401 Johnson Ln Ste 101, Venice, FL 34285. The listed phone number is (941) 757-3459.
What is Evann Dickerson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Evann Dickerson enrolled in Medicare?
Yes. Evann Dickerson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evann Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evann Dickerson reassigns Medicare benefits to Florida Luna Care Physical Therapy LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evann Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Evann Dickerson was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.