Shantil Dickerson
NPI 1689112039 · Physical Therapist · Richmond, IN
Shantil Dickerson is a Physical Therapist provider in Richmond, IN (NPI 1689112039).
Provider details
- NPI number
- 1689112039
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 05012095A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 550 Hallmark DrEaton, OH 45320-8648Phone: (937) 456-4181Fax: (937) 456-4649
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2018-08-01
Frequently asked questions
- What is Shantil Dickerson's NPI number?
- Shantil Dickerson's National Provider Identifier (NPI) is 1689112039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantil Dickerson's specialty?
- Shantil Dickerson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shantil Dickerson located?
- Shantil Dickerson's practice location on file with NPPES is 22 Nw 11th St., Richmond, IN 47374.
- What is Shantil Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Shantil Dickerson is (330) 716-2285.
- Is Shantil Dickerson's NPI active?
- Yes — Shantil Dickerson's NPI (1689112039) is active in the NPPES registry as of the last update on 2018-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.