Judie M Sto Domingo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2904 Issued in SC

Practice address

1021 Cheraw Street
Bennettsville, SC 29512

Phone

(843) 454-9000

Fax

(843) 454-9001

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Other names 1

• Judie Mae Amour Tampus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Leah Hamoy LLC

  • Physical Therapist
  • Florence, SC
  • NPI 1447536727
  NPD (past)
• Palmetto Wellness & Injury Center of Bennettsville LLC

  • Family Medicine Physician
  • Bennettsville, SC
  • NPI 1124240999
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1326073685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CHERAW STREET",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-454-9000",
            "fax_number": "843-454-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CHERAW STREET",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-454-9000",
            "fax_number": "843-454-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STO DOMINGO",
        "first_name": "JUDIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1257",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDIE",
            "last_name": "TAMPUS",
            "middle_name": "MAE AMOUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andria Marshale Sowells, MA, NCC, LPC
• Speech Connection of Florence, LLC
• Felecia Renee Stanton, LPC-A
• State of South Carolina
• Amanda H. Steen, LPN
• Raymond H Stroup, DC
• Renata Sheree Stubbs, MA
• Bennie Lee Stuckey Jr.
• Dominica Nicole Stuckey, LPC
• T&G Travel Solutions,LLC

• Physical Therapist in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.