Individual provider Active NPI

Dominick Andrew Policare, DPT

  • Physical Therapist
  • Selbyville, DE
National Provider Identifier
1043872641
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004100 Issued in DE
Practice address
37031 Old Mill Bridge Rd Unit 2
Selbyville, DE 19975-3940
Phone
(410) 208-3630
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0004100 DE Primary

Addresses

Primary practice location

37031 Old Mill Bridge Rd Unit 2
Selbyville, DE 19975-3940

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190801001098 DE Practitioner - Physical Therapist in Private Practice 4183950892 Reassigns benefits to 1 organization
I20200615002897 MD Practitioner - Physical Therapist in Private Practice 4183950892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

37031 Old Mill Bridge Rd
Unit 2
Selbyville, DE 19975-3940
Phone (302) 564-7476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27932MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehabilitation and Health Services of Delaware Inc Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients
Phoenix Rehabilitation and Health Services of Delaware, Inc Physical Therapist PastSince Mar 19, 2023 Accepting new patients

Locations

28632 DuPont Blvd
Unit 7
Millsboro, DE 19966
Phone (302) 934-0304

37031 Old Mill Bridge Rd
Unit 2
Selbyville, DE 19975
Phone (302) 564-7476

4001 Miller Rd
Wilmington, DE 19802
Phone (302) 764-2008

8215 W 108th Ter
Overland Park, KS 66210

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1043872641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37031 OLD MILL BRIDGE RD UNIT 2",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753940",
            "telephone_number": "410-208-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICARE",
        "first_name": "DOMINICK",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selbyville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.