Organization Active NPI

Dom the OT LLC

  • Early Intervention Provider Agency
  • Delray Beach, FL
National Provider Identifier
1164191284
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DOM THE OT LLC
Practice address
5690 Atlantic Ave Apt 204
Delray Beach, FL 33484-8217
Phone
(786) 390-6614
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dominique AlexisNPI 1780036962
Title
Owner
Phone
(786) 390-6614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

5690 Atlantic Ave Apt 204
Delray Beach, FL 33484-8217

Mailing address

5690 Atlantic Ave Apt 204
Delray Beach, FL 33484-8217
Phone (786) 390-6614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1164191284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 ATLANTIC AVE APT 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848217",
            "telephone_number": "786-390-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 ATLANTIC AVE APT 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848217",
            "telephone_number": "786-390-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOM THE OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-390-6614"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.