Individual provider Active NPI

Dominique Marie Thomas-McClurlikn, PTA

  • Physical Therapy Assistant
  • Rosedale, MD
National Provider Identifier
1366133571
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A6051 Issued in MD
Practice address
9101 Franklin Square Dr Ste 205
Rosedale, MD 21237-3975
Phone
(443) 777-6766
NPI assigned
May 18, 2023
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A8093 NC
Physical Therapy Assistant 225200000X TEI006415 PA
Physical Therapy Assistant 225200000X A6051 MD Primary

Addresses

Primary practice location

9101 Franklin Square Dr Ste 205
Rosedale, MD 21237-3975

Mailing address

9101 Franklin Square Dr Ste 205
Rosedale, MD 21237-3975
Phone (443) 777-6766

Other practice location 1

8380 Colesville Rd Ste 400
Silver Spring, MD 20910-6263
Phone (301) 563-3081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A6051MDMDPhysical Therapy Assistant
A8093NCMDPhysical Therapy Assistant
TEI006415PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1366133571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR STE 205",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373975",
            "telephone_number": "443-777-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR STE 205",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373975",
            "telephone_number": "443-777-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Colesville Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209106263",
            "country_code": "US",
            "telephone_number": "301-563-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-MCCLURLIKN",
        "first_name": "DOMINIQUE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8093",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI006415",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A6051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.