| Kristen Dicicco, OT, DOT | |
|
790 N Estrella Pkwy Ste C, Goodyear, AZ 85338-9290 | |
| (602) 765-4348 | |
| (623) 233-6567 |
| Full Name | Kristen Dicicco |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 3 Years |
| Location | 790 N Estrella Pkwy Ste C, Goodyear, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043945074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTC9339 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dht Hand Therapy Limited Partnership | 0547362691 | 22 |
| Provider Name | Arizona Center For Hand Surgery Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972502227 PECOS PAC ID: 4880585603 Enrollment ID: O20040322001660 |
| Provider Name | Dht Hand Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629137997 PECOS PAC ID: 0547362691 Enrollment ID: O20070221000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Dicicco, OT, DOT 300 W Clarendon Ave Ste 285, Phoenix, AZ 85013-3474 Ph: (602) 279-6905 | Kristen Dicicco, OT, DOT 790 N Estrella Pkwy Ste C, Goodyear, AZ 85338-9290 Ph: (602) 765-4348 |
Nicole Hernandez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395 Phone: 480-244-3651 | |
Jazz Taylor White, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Mr. Thomas James Stevens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-242-6908 | |
Dr. Sara Murray Cloar, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Megan Dzimira, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-229-7808 | |
Kimberly Salinas, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13575 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-536-9911 |