Ethan Royce Dickeson, DPT - Physical Therapist in Little Rock, AR

Ethan Royce Dickeson, DPT is a Physical Therapist based in Little Rock, Arkansas. Ethan Royce Dickeson is licensed to practice in * (Not Available) (license number ) and his current practice location is 824 N Tyler St, Little Rock, Arkansas. He can be reached at his office (for appointments etc.) via phone at (501) 664-2691.

NPI number for Ethan Royce Dickeson is 1437994308 and his current mailing address is 425 Mildred St, Conway, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437994308.

Contact Information

Ethan Royce Dickeson, DPT
824 N Tyler St,
Little Rock, AR 72205-3535
(501) 664-2691
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEthan Royce Dickeson
GenderMale
SpecialityPhysical Therapist
Location824 N Tyler St, Little Rock, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437994308
  • Provider Enumeration Date: 07/01/2024
  • Last Update Date: 07/01/2024

Medical Identifiers

Medical identifiers for Ethan Royce Dickeson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437994308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Royce Dickeson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethan Royce Dickeson, DPT
425 Mildred St,
Conway, AR 72034-6178

Ph: (501) 206-4113
Ethan Royce Dickeson, DPT
824 N Tyler St,
Little Rock, AR 72205-3535

Ph: (501) 664-2691

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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