Individual provider Active NPI

Isabelle Dominy, OTR/L

  • Occupational Therapist
  • Cartersville, GA
National Provider Identifier
1215726872
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009512 Issued in GA
Practice address
20 Pointe North Dr Ste 109
Cartersville, GA 30120-7955
Phone
(770) 608-8525
Fax
(470) 588-8934
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009512 GA Primary

Addresses

Primary practice location

20 Pointe North Dr Ste 109
Cartersville, GA 30120-7955

Mailing address

20 Pointe North Dr Ste 109
Cartersville, GA 30120-7955
Phone (770) 608-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT009512GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1215726872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POINTE NORTH DR STE 109",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207955",
            "telephone_number": "770-608-8525",
            "fax_number": "470-588-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POINTE NORTH DR STE 109",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207955",
            "telephone_number": "770-608-8525",
            "fax_number": "470-588-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINY",
        "first_name": "ISABELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.