Individual provider Active NPI

Dominick Vilsaint, DPT

  • Physical Therapist
  • Capitol Heights, MD
National Provider Identifier
1316586605
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29548 Issued in MD
Practice address
1801 Ritchie Station CT Ste 200
Capitol Heights, MD 20743-5075
Phone
(240) 455-9400
Fax
(240) 455-9401
NPI assigned
Jan 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 045005 NY
Physical Therapist 225100000X 2305213081 VA
Physical Therapist 225100000X 29548 MD Primary

Addresses

Primary practice location

1801 Ritchie Station CT Ste 200
Capitol Heights, MD 20743-5075

Mailing address

11597 217TH St
Cambria Heights, NY 11411-1137

Other practice location 1

111 Broadway Rm 1801
New York, NY 10006-1908
Phone (212) 292-7145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200313000999 NY Practitioner - Physical Therapist in Private Practice 3173951779 Reassigns benefits to 2 organizations
I20230815001551 DC Practitioner - Physical Therapist in Private Practice 3173951779 Reassigns benefits to 1 organization
I20250411001874 VA Practitioner - Physical Therapist in Private Practice 3173951779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

3020 Hamaker CT
Suite 100
Fairfax, VA 22031-2233
Phone (703) 844-8599

5109 Arrowbrook CT
Glen Allen, VA 23060-2876
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29548MDMDPhysical Therapist
045005NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Physical Therapy Financial District PLLC Physical Therapist CurrentSince Jul 13, 2020 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 2, 2025 Accepting new patients
Cynergy Physical Therapy, P.C. Physical Therapist CurrentSince Feb 8, 2020 Accepting new patients

Locations

111 Broadway
Rm 1801
New York, NY 10006
Phone (212) 292-7145

119 W 57th St
Ste 600
New York, NY 10019
Phone (212) 974-7252

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

Organizations & group practices 4

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1316586605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11597 217TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RITCHIE STATION CT STE 200",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435075",
            "telephone_number": "240-455-9400",
            "fax_number": "240-455-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Broadway Rm 1801",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061908",
            "country_code": "US",
            "telephone_number": "212-292-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILSAINT",
        "first_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045005",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213081",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.