Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Laurenne Dickens, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1467083469

Ashley Laurenne Dickens, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Waldorf, Maryland. Qualified in 2017, 9 years ago. Practices with Goodwin House Home and Community Based Services, a 15-clinician group and works from 2 locations. Licensed in Illinois, Maryland and Virginia.

Years since qualifying
9
Licensed in
IL, MD, VA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

3018 Festival Way Unit 323
Waldorf, MD 20601-2958
Phone: (240) 754-5520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6166 Fuller Ct, Alexandria, VA 22310-2540 — (703) 719-6908

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27846 (MD)
Physical Therapist Taxonomy 225100000X · Licence 2305212561 (VA)
Physical Therapist Taxonomy 225100000X · Licence 070023055 (IL)

Record details

NPI number1467083469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Goodwin House Home And Community Based Services — 15 clinicians
Accepts Medicare assignment Not indicated

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