BENJAMIN LANE DICKERSON PT, DPT, ATC
NPI 1477016327
Physical Therapist - Sports in Hilliard, OH

Q: What is Benjamin Dickerson's NPI number?

The NPI number for Benjamin Dickerson is 1477016327. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Benjamin Dickerson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Active since April 08, 2019

3207 HILLIARD ROME RD, HILLIARD, OH 43026(614) 850-0680 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2019, Jul 31, 2019, Apr 8, 2019 (3 updates tracked since 2019).

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About Benjamin Lane Dickerson Pt, Dpt, Atc NPPES

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

BENJAMIN LANE DICKERSON PT, DPT, ATC (NPI 1477016327) is an individual sports provider in Hilliard, Ohio, licensed in Ohio (PT.015069) and active in the NPI registry since April 2019. He maintains a secondary practice location in Hilliard.

NPPES Registry Identity

NPI1477016327

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameBENJAMIN LANE DICKERSONCredential: PT, DPT, ATC

Location Address3207 HILLIARD ROME RDHilliard, OH 43026

Mailing Address1520 W 6th Ave Apt 13Columbus, OH 43212-2469 · (419) 618-5565

Phone(614) 850-0680

Sole ProprietorYes

Enumeration DateApril 8, 2019

Last NPPES UpdateAugust 7, 20193 updates tracked since enumeration

✔ NPI 1477016327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code2251S0007X

Licenses✔ Licensed in OH · PT.015069✔ Licensed in SC · 8403

Definition

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License BOC154302 (SC)

3207 HILLIARD ROME RD, Hilliard, OH 43026

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Secondary Practice Location 1

Location 13207 Hilliard Rome RdHilliard, OH 43026 · Phone (614) 850-0680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 7

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

TARA M MCELROY MS, ATC

Specialist/Technologist (Athletic Trainer)