MRS. JENNIFER RENEE DICICCO DPT
NPI 1255584330
Physical Therapist - Pediatrics in Charlotte, NC
NPI Status: Active since November 03, 2008
Contact Information
4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28211
Phone: (703) 304-0620
Fax: (704) 304-0620
- Individual
- Female
- Physical Therapist
- Pediatrics
- Accepts Insurance
About JENNIFER DICICCO
This page provides the complete NPI Profile along with additional information for Jennifer Dicicco, a provider established in Charlotte, North Carolina with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1255584330 assigned on November 2008. The practitioner's primary taxonomy code is 2251P0200X with license number P12753 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1255584330
- Provider Name
- MRS. JENNIFER RENEE DICICCO DPT
- Other Name
- JENNIFER RENEE MANETTI
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4501 CAMERON VALLEY PKWY SUITE 300 CHARLOTTE, NC 28211
- Location Phone
- (703) 304-0620
- Location Fax
- (704) 304-0620
- Mailing Address
- 1100 BLYTHE BLVD CHARLOTTE, NC 28203
- Mailing Phone
- (704) 304-0620
- Mailing Fax
- (704) 304-0620
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-03-2008
- Last Update Date
- 11-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- P12753
- License State
- NC
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2305205704 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MRS. JENNIFER RENEE DICICCO DPT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 5 | 8 | 4 | 3 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 8 | 8 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 8 + 8 + 3 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255584330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629082656 | MRS. GRETCHEN M JACHIM PA-C Individual | Physician Assistant | 4501 CAMERON VALLEY PKWY CHARLOTTE, NC 28211 (704) 367-7400 |
| 1346256534 | DR. ELIZABETH H HARRIS M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4501 CAMERON VALLEY PKWY SUITE 300 CHARLOTTE, NC 28211 (704) 302-9300 |
| 1295027845 | KIRA MOLLENKOPF SEGEBARTH RD, CPNP Individual | Nurse Practitioner (Pediatrics) | 4501 CAMERON VALLEY PKWY SUITE 200 CHARLOTTE, NC 28211 (704) 512-5836 |
| 1922367077 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 4501 CAMERON VALLEY PKWY SUITE 301-A CHARLOTTE, NC 28211 (704) 403-2660 |
| 1144580754 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Pediatrics (Developmental - Behavioral Pediatrics) | 4501 CAMERON VALLEY PKWY SUITE 301-B CHARLOTTE, NC 28211 (704) 403-2626 |
| 1447664164 | MS. ANNE ELAM IBCLC Individual | Lactation Consultant, Non-RN | 4501 CAMERON VALLEY PKWY SUITE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1063895977 | MEDCARERX INC Organization | Pharmacy (Community/Retail Pharmacy) | 4501 CAMERON VALLEY PKWY CHARLOTTE, NC 28211 (704) 367-7440 |
| 1861757197 | CAROLINAS MEDICAL CENTER Organization | Pediatrics (Neurodevelopmental Disabilities) | 4501 CAMERON VALLEY PKWY SUITE 300 CHARLOTTE, NC 28211 (704) 381-1410 |
| 1326062761 | BARRY L GOLEMBE MD Individual | Pediatrics | 4501 CAMERON VALLEY PKWY SUITE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1417971003 | SUSAN SHAFFNER Individual | Pediatrics | 4501 CAMERON VALLEY PKWY SUITE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1063426815 | HENRY SMITH Individual | Pediatrics | 4501 CAMERON VALLEY PKWY SUITE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1912937475 | MARK PARKER Individual | Pediatrics (Pediatric Endocrinology) | 4501 CAMERON VALLEY PKWY SUITE 200 CHARLOTTE, NC 28211 (704) 512-3636 |
| 1932456944 | DANA M PATTI IBCLC Individual | Lactation Consultant, Non-RN | 4501 CAMERON VALLEY PKWY CHARLOTTE, NC 28211 (704) 367-7400 |
| 1194052761 | CHARLOTTE PEDIATRIC CLINIC Organization | Pediatrics | 4501 CAMERON VALLEY PKWY STE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1679582134 | PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS Organization | Pediatrics (Pediatric Endocrinology) | 4501 CAMERON VALLEY PKWY STE 200 CHARLOTTE, NC 28211 (704) 512-3636 |
| 1023146388 | DAVID JERRET PUBANTZ MD Individual | Pediatrics | 4501 CAMERON VALLEY PKWY STE 200-B CHARLOTTE, NC 28211 (704) 381-0500 |
| 1063772374 | STEPHANIE PETTUS KWON MD Individual | Pediatrics | 4501 CAMERON VALLEY PKWY STE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1154346443 | ANNA TAYLOR SCHMELZER MD Individual | Pediatrics | 4501 CAMERON VALLEY PKWY STE 100 CHARLOTTE, NC 28211 (704) 367-7400 |
| 1184275570 | STEFANIE ANN KIENKER FNP Individual | Nurse Practitioner (Family) | 4501 CAMERON VALLEY PKWY STE 300 CHARLOTTE, NC 28211 (704) 381-6255 |
| 1184811937 | JAKUB MIESZCZAK MD Individual | Pediatrics (Pediatric Endocrinology) | 4501 CAMERON VALLEY PKWY STE 200 CHARLOTTE, NC 28211 (704) 512-3636 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255584330, enumerated in the NPI registry as an "individual" on November 03, 2008
The provider is located at 4501 Cameron Valley Pkwy Suite 300 Charlotte, Nc 28211 and the phone number is (703) 304-0620
The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.