TESSA DICKINSON (MOT, OTR/L) – Pediatric Occupational Therapist, NPI 1013795855

TESSA DICKINSON (MOT, OTR/L) is a healthcare provider. based in Arnold, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MOT, OTR/L. They hold a License No. 2023037658 (MO). The NPI Number for TESSA DICKINSON (MOT, OTR/L) is 1013795855

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TESSA DICKINSON (MOT, OTR/L)
NPI
1013795855
Phone
(636) 464-5439
Address
3488 JEFFCO BLVD STE 102
Enumeration Date
21 September 2023
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166310847
Graduation Year
2023 (3 years ago)
PAC ID
4284157181
Group Practice PAC ID
9830504836
Professional Enrollment ID
I20250401002941
Address ID
MO641547295KA9101XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

334 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for TESSA DICKINSON (MOT, OTR/L)

  • 3488 JEFFCO BLVD STE 102

    ARNOLD, MO 630106015

    Phone: (636) 464-5439

    Fax: (636) 464-5438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250401002941IOccupational Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830504836View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Family PracticeMO
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Qualified Speech Language PathologistMO
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

Can I cross-check TESSA DICKINSON (MOT, OTR/L) using NPI 1013795855?
NPI 1013795855 belongs to TESSA DICKINSON (MOT, OTR/L); compare other details if you need extra assurance.
Would TESSA DICKINSON (MOT, OTR/L) appear as active to a payer?
You can treat TESSA DICKINSON (MOT, OTR/L) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TESSA DICKINSON (MOT, OTR/L)?
TESSA DICKINSON (MOT, OTR/L) is associated with Pediatric Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is TESSA DICKINSON (MOT, OTR/L) located near Arnold?
TESSA DICKINSON (MOT, OTR/L) currently maps to Arnold, Missouri in this extract.
Can I trust this NPI listing for TESSA DICKINSON (MOT, OTR/L)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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