Heather Domingues, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01401800 Issued in NJ

Practice address

300 Route 18 Ste 39
East Brunswick, NJ 08816-1912

Phone

(732) 254-3971

Fax

(732) 254-5291

NPI assigned

Jul 13, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function Forward Physical Therapy LLCGroup PAC ID 8224431887, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Function Forward Physical Therapy LLC

  • Physical Therapist
  • Matawan, NJ
  • NPI 1760057947
  Medicare reassignment Care Compare group NPD Authorized official
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064
  Medicare reassignment NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD
• Function Forward LLC

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Matawan, NJ
  • NPI 1952029373
  NPD Authorized official
• Function Matters LLC

  • Durable Medical Equipment & Medical Supplies
  • Matawan, NJ
  • NPI 1568317493
  NPD Authorized official
• Trinity Rehab Somerset PA

  dba Trinity Rehab North Wales PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1275821084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROUTE 18 STE 39",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161912",
            "telephone_number": "732-254-3971",
            "fax_number": "732-254-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROUTE 18 STE 39",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161912",
            "telephone_number": "732-254-3971",
            "fax_number": "732-254-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUES",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01401800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryaki Dixit
• Antoinette Dixon-Thompson, LCSW, LCADC
• Justyna Dmowski, PSY.D, LCADC
• Doctor Margarita Chudner
• Doctor's Care Center, P.a.
• Maritza Dominguez, D.M.D.
• Donald H. Kahn, D.M.D., P.a.
• Susan Terry Dondes, MA, CCC-A
• Jeffrey Dorr, M.D.
• Biren Doshi

• Physical Therapist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.