Myiah Nicole Domer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

340 Polaris Pkwy
Westerville, OH 43082-7971

Phone

(614) 839-2300

NPI assigned

Apr 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdomer@orthopedicone.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic One, Inc.

  • Orthopaedic Surgery Physician
  • Westerville, OH
  • NPI 1548289697
  Medicare reassignment Care Compare group NPD
• Orthopedic One, Inc

  • Durable Medical Equipment & Medical Supplies
  • Canal Winchester, OH
  • NPI 1467284042
  NPD
• Delaware County Board of Mental Retardation & Developmental Disabiliti

  • Developmentally Disabled Services Day Training Agency
  • Lewis Center, OH
  • NPI 1306068085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1043830441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-839-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMER",
        "first_name": "MYIAH",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lien DO, DPT
• Joseph Doherty, MA, LPC, CWC
• Kent W Doherty, DO
• Doma Limited
• Dome Dialysis LLC
• Dominion Health Services Inc.
• Dominion Home Health Agency LLC
• Dominion Urgent Care Clinic LLC
• Allison Patricia Donnellan, BA
• Kevin Donnelly, M. D.

• Physical Therapist in Westerville, OH
• Providers in Westerville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.