Dominic Michael Reali, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12510 Issued in NC

Practice address

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800

Phone

(910) 938-7555

Fax

(910) 938-7544

NPI assigned

Mar 1, 2010

Last updated

Mar 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Accent Physical Therapy, LLC

  • Physical Therapist
  • Wilmington, NC
  • NPI 1205027224
  NPD (past)
• Cora North Carolina, LLC

  dba CORA Physical Therapy - Wilmington

  • Rehabilitation Clinic/Center
  • Wilmington, NC
  • NPI 1467964189
  NPD (past)
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)
• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  NPD (past)

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1205158532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12909",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612909",
            "telephone_number": "252-636-9800",
            "fax_number": "252-636-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALI",
        "first_name": "DOMINIC",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Austin Rauch, DPT
• Jessica Ravan, RBT
• Raven Therapeutic Services, PLLC
• Carol Sue Raynor
• Elizabeth Jenkins Raynor, FNP-BC
• Realo Discount Drug of Onslow
• Realo Discount Drug Stores of Eastern North Carolina, Inc. (Realo Discount Drugs)
• Realo Discount Drugs of Onslow Inc (Realo Discount Drugs)
• Realo Discount Drugs of Onslow, Inc
• Kaitlin Ream, FNP

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.