Marvin Salamanca Sto Domingo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2899 Issued in SC

Practice address

309 Chesterfield Hwy
Suite 1
Cheraw, SC 29520

Phone

(843) 320-8000

Fax

(843) 320-8002

NPI assigned

Jul 3, 2006

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cheraw Physical Therapy & Rehabilitation Center LLC.

  • Occupational Therapist
  • Cheraw, SC
  • NPI 1407888605

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Hartsville Physical Therapy & Rehabilitation Center LLC.

  • Physical Therapist
  • Hartsville, SC
  • NPI 1427087113
  NPD (past) Authorized official
• Lancaster Physical Therapy LLC.

  • Physical Therapist
  • Lancaster, SC
  • NPI 1679502363
  NPD (past) Authorized official
• Dynamic Physical Therapy & Rehabilitation

  • Physical Therapist
  • Fort Mill, SC
  • NPI 1164626925
  NPD (past)
• Joel N. Baslot PT, LLC

  dba Dynamic Physical Therapy and Rehabilitation Center

  • Physical Therapist
  • Marion, SC
  • NPI 1881921989
  NPD (past)
• Leah Hamoy LLC

  dba Dynamic Physical Therapy

  • Physical Therapist
  • Florence, SC
  • NPI 1447536727
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1467481143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CHESTERFIELD HWY",
            "address_2": "SUITE 1",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "29520",
            "telephone_number": "843-320-8000",
            "fax_number": "843-320-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CHESTERFIELD HWY",
            "address_2": "SUITE 1",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "29520",
            "telephone_number": "843-320-8000",
            "fax_number": "843-320-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STO DOMINGO",
        "first_name": "MARVIN",
        "middle_name": "SALAMANCA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3247",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Agnieszka Sokolowska
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03565)
• Tonnie Crowley Spivey, APRN
• Charles Randall Stafford, DMD
• Jackie P. Stafford, DNP
• Cooper Ellis Stone
• Tracy J Teal, NP
• The Art of Living Daily, Inc.
• The Beacon House Group Home LLC
• Jude M. Thomas, MD

• Physical Therapist in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.