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

Shantil Dickerson

Individual provider Physical Therapist · NPI 1689112039

Shantil Dickerson is a Physical Therapist in Richmond, Indiana. Works from 2 locations. Licensed in Indiana and Ohio.

Licensed in
IN, OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

22 NW 11th St
Richmond, IN 47374
Phone: (330) 716-2285
Show map & directions

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

Additional practice locations (1)

  • 550 Hallmark Dr, Eaton, OH 45320-8648 — (937) 456-4181

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016442 (OH)
Physical Therapist Taxonomy 225100000X · Licence 05012095A (IN)

Record details

NPI number1689112039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESAugust 1, 2018
Mailing address1100 Reid Parkway, Medical Staff Services, Richmond, IN 47374-1157

Other providers in Richmond