NPIMap

Organization Active NPI

Dominga'S Therapy Services PTR PA

  • Rehabilitation Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1457549719
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
P01000084214 Issued in FL
Legal business name
DOMINGA'S THERAPY SERVICES PTR PA
Practice address
1950 SW 37TH Ave
Fort Lauderdale, FL 33312-4220
Phone
(954) 581-5492
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Anthony Dale Palmer, MOTNPI 1740479690
Title
Vice President
Phone
(954) 581-5492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X P01000084214 FL Primary

Addresses

Primary practice location

1950 SW 37TH Ave
Fort Lauderdale, FL 33312-4220

Mailing address

1950 SW 37TH Ave
Fort Lauderdale, FL 33312-4220
Phone (954) 581-5492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1457549719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SW 37TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124220",
            "telephone_number": "954-581-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SW 37TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124220",
            "telephone_number": "954-581-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGA'S THERAPY SERVICES PTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-581-5492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "P01000084214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.