Active NPI
Adam Domovich, DPT
- Orthopedic Physical Therapist
- Mount Joy, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT029795
- 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.
-
- Physical Therapy Clinic/Center
- Mount Joy, PA
- NPI 1649011594
Orthopedic, PA
-
- Physical Therapist
- Harrisburg, PA
- NPI 1063166916
Orthopedic, PA
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolute Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Madden and Gilbert Physical Therapy LP | Orthopedic | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT029795 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.