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

Individual provider Physical Therapist · NPI 1235654526

Dimitri Gregory Sidorick, DPT is a Physical Therapist in Private Practice in State College, Pennsylvania. Qualified in 2017, 9 years ago. Practices with The Milton S Hershey Medical Center Physicians Group, a 1,595-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

143 Hospital Dr Ste 112
State College, PA 16803
Phone: (814) 865-3566
Fax: (814) 235-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT026189 (PA)

Record details

NPI number1235654526
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESJuly 18, 2025
Certification dateJuly 7, 2025
Mailing address103 W Maple St, Philipsburg, PA 16866-2200

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 The Milton S Hershey Medical Center Physicians Group — 1595 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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