Individual provider Active NPI

Adam Domovich, DPT

  • Orthopedic Physical Therapist
  • Mount Joy, PA
National Provider Identifier
1346902301
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT029795 Issued in PA
Practice address
124 Merchant Ave
Mount Joy, PA 17552-1175
Phone
(717) 207-7992
Fax
(717) 392-6680
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Merchant Ave
Mount Joy, PA 17552-1175
Phone (717) 579-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211115000128 PA Practitioner - Physical Therapist in Private Practice 2062801004 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Physical Therapy LLC Orthopedic CurrentSince Feb 24, 2025 Accepting new patients
Madden and Gilbert Physical Therapy LP Orthopedic CurrentSince Apr 1, 2022 Accepting new patients

Locations

1104 Carlisle Rd
Ste 170
Camp Hill, PA 17011
Phone (717) 210-5676

1104 Carlisle Rd
Camp Hill, PA 17011
Phone (717) 210-5676

5425 Jonestown Rd
Ste 100
Harrisburg, PA 17112
Phone (717) 901-6487

250 W Chocolate Ave
Ste 3
Hershey, PA 17033
Phone (717) 547-9100

124 Merchant Ave
Mount Joy, PA 17552
Phone (717) 207-7992

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029795 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

124 Merchant Ave
Mount Joy, PA 17552-1175

Mailing address

124 Merchant Ave
Mount Joy, PA 17552-1175
Phone (717) 207-7992

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address adomovich@resolute-physicaltherapy.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2025.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1346902301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MERCHANT AVE",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521175",
            "telephone_number": "717-207-7992",
            "fax_number": "717-392-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MERCHANT AVE",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521175",
            "telephone_number": "717-207-7992",
            "fax_number": "717-392-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOVICH",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adomovich@resolute-physicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "124 Merchant Ave",
            "city": "Mount Joy",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175521175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

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