Healthcare Provider Details

I. General information

NPI: 1659275857
Provider Name (Legal Business Name): RACHEL DICKS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 JAYMOR RD STE C-150
SOUTHAMPTON PA
18966-3832
US

IV. Provider business mailing address

6156 WASHINGTON LN
BENSALEM PA
19020-2436
US

V. Phone/Fax

Practice location:
  • Phone: 267-229-8949
  • Fax:
Mailing address:
  • Phone: 267-229-8949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT034160
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: