IndividualActive
Jennifer Dickerson, OTRL
NPI 1356498281 · Pediatric Occupational Therapist · Manakin Sabot, VA
Provider details
- NPI number
- 1356498281
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- 0119001291 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40 Broad Street Rd
Manakin Sabot, VA 23103-2213
Phone: (804) 784-3514
Street-level locationGet directions
Mailing address
8154 Signal Hill Rd
Mechanicsville, VA 23111-1231
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.