Active NPI
Dominic Simon Onofre, LPT
- Physical Therapist
- Arlington, TX
National Provider Identifier
1366698235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1182747
- Practice address
- 2340 W I 20 Ste 218
Arlington, TX 76017-7603 - Phone
- (682) 238-3243
- Fax
- (817) 549-0106
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1182747 | TX | Primary |
Addresses
Primary practice location
2340 W I 20 Ste 218
Arlington, TX 76017-7603
Mailing address
5904 S Cooper St Ste 104107
Arlington, TX 76017-4494
Phone (682) 238-3243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165348701 | Medicaid | TX |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1366698235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 S COOPER ST STE 104107",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174494",
"telephone_number": "682-238-3243",
"fax_number": "817-549-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 W I 20 STE 218",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760177603",
"telephone_number": "682-238-3243",
"fax_number": "817-549-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONOFRE",
"first_name": "DOMINIC",
"middle_name": "SIMON",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1182747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165348701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.