Individual provider Active NPI

Rodellee Valdez Domingo

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1184314411
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050314 Issued in NY
Practice address
3611 E Tremont Ave
Bronx, NY 10465-2053
Phone
(718) 904-9581
NPI assigned
May 10, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 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 050314 NY Primary

Addresses

Primary practice location

3611 E Tremont Ave
Bronx, NY 10465-2053

Mailing address

84 Hyatt Ave
Yonkers, NY 10704-4315
Phone (914) 309-8036

Other practice location 1

84 Hyatt Ave
Yonkers, NY 10704-4315
Phone (914) 309-8036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240609000036 NY Practitioner - Physical Therapist in Private Practice 2961944798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

955 Yonkers Ave
Suite 109
Yonkers, NY 10704-3063
Phone (914) 776-7310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince May 14, 2024 Accepting new patients
Montefiore Medical Center CurrentSince May 14, 2024 Accepting new patients
Hudson Orthopedics PLLC CurrentSince Oct 14, 2024 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
New York Metropolitan Orthopaedics and Spine, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

111 E 210th St
Bronx, NY 10467

3611 E Tremont Ave
Bronx, NY 10465
Phone (718) 563-0384

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

143 W 29th St
Fl 5
New York, NY 10001
Phone (646) 650-2229

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

955 Yonkers Ave
Ste 109
Yonkers, NY 10704
Phone (914) 776-7310

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1184314411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HYATT AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044315",
            "telephone_number": "914-309-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652053",
            "telephone_number": "718-904-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Hyatt Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107044315",
            "country_code": "US",
            "telephone_number": "914-309-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "RODELLEE",
        "middle_name": "VALDEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.