Active NPI
Thomas Alan Domino, PT, SCS, CSCS
- Sports Physical Therapist
- Plano, TX
National Provider Identifier
1013019041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 1108686
- Practice address
- 1101 Ohio Dr Ste 110
Plano, TX 75093-5331 - Phone
- (972) 985-2622
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 1108686 | TX | Primary |
Addresses
Primary practice location
1101 Ohio Dr Ste 110
Plano, TX 75093-5331
Mailing address
3531 Delford Dr
Frisco, TX 75034-1290
Phone (214) 387-0552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T1156 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metdalspi, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013019041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 DELFORD DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341290",
"telephone_number": "214-387-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OHIO DR STE 110",
"city": "PLANO",
"state": "TX",
"postal_code": "750935331",
"telephone_number": "972-985-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINO",
"first_name": "THOMAS",
"middle_name": "ALAN",
"credential": "PT, SCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1108686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T1156",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.