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NPI Code Detail

MEDICARE: MRS. KRISTEN ASHLEY DZIKAS OTR/L, CSRS

MEDICARE: MRS. KRISTEN ASHLEY DZIKAS OTR/L, CSRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XN1300XNeurorehabilitation Occupational TherapistOT-14298FL
2225XP0019XPhysical Rehabilitation Occupational TherapistOT-14298FL
3225X00000XOccupational TherapistOT-14298FL

General Provider Information

NPI Number : 1518818301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN ASHLEY DZIKAS OTR/L, CSRS
Provider Business Mailing Address
First Line : 5704 4TH AVE NW
Second Line :
City : BRADENTON
State : FL
Zip : 34209-1806
Country : US
Telephone Number : 941-726-2116
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3509
Country : US
Telephone Number : 941-917-7622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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