Active NPI
Tomasz Dominik Domanski, OTR
- Occupational Therapist
- New York, NY
National Provider Identifier
1033425673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.008770
- Practice address
- 224 W. 30TH STR.
Fox Rehab
New York, NY 10001 - Phone
- (718) 789-2090
- NPI assigned
- Aug 20, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.008770 | IL | Primary |
Addresses
Primary practice location
224 W. 30TH STR.
Fox Rehab
New York, NY 10001
Mailing address
224 W. 30TH STR.
Fox Rehab
New York, NY 10001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.008770 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1033425673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W. 30TH STR.",
"address_2": "FOX REHAB",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W. 30TH STR.",
"address_2": "FOX REHAB",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "718-789-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANSKI",
"first_name": "TOMASZ",
"middle_name": "DOMINIK",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.008770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.