Individual provider Active NPI

Dominick Pansini, DPT, CSCS

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1255870812
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30453 Issued in AZ
Practice address
5095 S Alma School Rd Ste 4
Chandler, AZ 85248-5585
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1281976 TX
Orthopedic Physical Therapist 2251X0800X 60782214 WA
Physical Therapist 225100000X LPT-30453 AZ Primary

Addresses

Primary practice location

5095 S Alma School Rd Ste 4
Chandler, AZ 85248-5585

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other practice location 1

3201 McKinney St
Melissa, TX 75454-9762
Phone (972) 837-4450

Other practice location 2

2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695

Other practice location 3

525 S Chandler Village Dr
Chandler, AZ 85226-5069
Phone (602) 648-5444

Other practice location 4

1675 E Melrose St Ste 101103
Gilbert, AZ 85297-1001
Phone (602) 648-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702001307 AZ Practitioner - Physical Therapist in Private Practice 3173807146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

5095 S Alma School Rd
Suite 4
Chandler, AZ 85248-5585
Phone (602) 648-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30453AZMDPhysical Therapist
1281976TXMDPhysical Therapist
60782214WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Training Inc Physical Therapist CurrentSince May 6, 2019 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Nov 18, 2023 Accepting new patients
Chiropractic of Melissa PLLC CurrentSince Aug 11, 2024 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Strength Training Inc PastSince May 6, 2019 Accepting new patients
Engineered Sports 2 PLLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

5095 S Alma School Rd
Ste 4
Sun Lakes, AZ 85248

3201 McKinney St
Melissa, TX 75454
Phone (972) 837-4450

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1255870812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 S ALMA SCHOOL RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485585",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 McKinney St",
            "address_purpose": "LOCATION",
            "city": "Melissa",
            "state": "TX",
            "postal_code": "754549762",
            "country_code": "US",
            "telephone_number": "972-837-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Wall St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013761",
            "country_code": "US",
            "telephone_number": "425-512-8695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 S Chandler Village Dr",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852265069",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 E Melrose St Ste 101103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852971001",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANSINI",
        "first_name": "DOMINICK",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1281976",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "60782214",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.