Dominique Danielle Craft, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004092 Issued in WV

Practice address

416 37TH St
Parkersburg, WV 26101-1009

Phone

(304) 428-1703

Fax

(304) 422-1176

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natalie L Cooke LLCGroup PAC ID 4082911268, 13 clinicians

Mountain River Physical Therapy Specialists LLCGroup PAC ID 1759795834, 22 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 and National Provider Directory roles.

• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1437754157

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Natalie L Cooke LLC

  • Physical Therapist
  • Vienna, WV
  • NPI 1891160677
  Medicare reassignment Care Compare group NPD
• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1487668794

  Physical Therapist

  Medicare reassignment NPD
• Mountain River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wheeling, WV
  • NPI 1568904142
  NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283

  Physical Therapist

  NPD
• Riverview Health Clinic, PLLC

  • Chiropractor
  • Vienna, WV
  • NPI 1417053042

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1316408941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 37TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011009",
            "telephone_number": "304-428-1703",
            "fax_number": "304-422-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "DOMINIQUE",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017915",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Deann Cox
• Taylor Lynn Cox
• Eleanore Catherine Coyne, MA, LCSW
• Jennifer L Cozart, LPC
• Michelle Dawn Craddock, RN
• Rebekah Louise Craig
• Clara Crall, LISW
• Bridey Cramlet, LPN
• Joshua D Cranfield
• Douglas Trey Crawford, PHARM.D,

• Physical Therapist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.