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

Ryan Mark Dickerman, DPT

Individual provider Physical Therapist · NPI 1619416088

Ryan Mark Dickerman, DPT is a Physical Therapist in Private Practice in Mocksville, North Carolina. Qualified in 2016, 10 years ago. Practices with Benchmark Physical Therapy of North Carolina, LLC, a 240-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
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

810 Valley Rd
Mocksville, NC 27028-2930
Phone: (336) 753-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 N Church St Ste 201, Greensboro, NC 27401-1041 — (336) 275-1711

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P16899 (NC)

Record details

NPI number1619416088
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 18, 2017
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Benchmark Physical Therapy Of North Carolina, Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mocksville