Heather L Domina, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11409 Issued in NC

Practice address

750 SE Cary Pkwy
Cary, NC 27511-5682

Phone

(919) 651-3961

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By 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

Other names 1

• Heather L Luke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1336659978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GRATIOT DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607713",
            "telephone_number": "315-406-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SE CARY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115682",
            "telephone_number": "919-651-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINA",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LUKE",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doctors Weight Loss Center of Cary
• Erin Haley Dodson, PA-C
• Brigid Marie Kolasa Dohse, OTR/L
• Ralph Dolfi, DMD
• Amanda Dombrowski, PA-C
• Alyssa Domingue
• Sarath B. Dommaraju, M.D.
• Patrick W Donahue, MD
• Joseph Edward Donald Dondero, BCBA
• Tom Donofrio, LMBT

• Physical Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.