Maria Catalina Domingo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00714800 Issued in NJ

Practice address

6550 Delilah Rd
Suite 304
Egg Harbor Township, NJ 08234-5102

Phone

(609) 484-7300

Fax

(609) 407-5376

NPI assigned

May 8, 2012

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 NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Champion Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1316362494

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1083973218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD",
            "address_2": "SUITE 304",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD",
            "address_2": "SUITE 304",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-484-7300",
            "fax_number": "609-407-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "MARIA",
        "middle_name": "CATALINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00714800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte A. Dimarco Morrison, LCSW
• Richard A. Dimeo, M.D.
• Francesca Dipaola, P.A.-C
• Donna Disney, MSW, LCSW, LCADC
• Nathalee Dixon-Owens
• Holly Ann Donald, FNP-BC
• Frank Michael Donato, LAC
• Jessica Ruth Donlan, MA, BCBA
• Deanna Donohue, CRNA
• Jessica Dorado, PA

• Physical Therapist in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.