Fernando Dominguez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT033634 Issued in AZ

Practice address

2560 E Fort Lowell Rd
Tucson, AZ 85716-1514

Phone

(520) 323-9086

Fax

(520) 323-6364

NPI assigned

May 9, 2023

Last updated

Jun 20, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

George Washington University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athlon Physical Therapy LLCGroup PAC ID 9739281544, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.15 of 100Reported as group

Quality

95.11

Improvement activities

40

Cost

73.69

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.

• Athlon Physical Therapy, LLC

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Oro Valley, AZ
  • NPI 1639236581

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rebound Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1659761831

  DC

  Medicare reassignment NPD
• Athlon Physical Therapy, LLC

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1245449909

  Physical Therapist

  NPD
• Athlon Physical Therapy, LLC

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Green Valley, AZ
  • NPI 1861931644

  Physical Therapist

  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1477243079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161514",
            "telephone_number": "520-323-9086",
            "fax_number": "520-323-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "FERNANDO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT033634",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nola Domenici, LPC
• Timothy Domer, M.D.
• Olivia Domingo
• Danielle Dominguez, RDN
• Eduardo Dominguez
• Jose Felipe Dominguez
• Juan Dominguez Jr., AU.D
• Maria Jesus Dominguez, MSW
• Mylena Avalos Dominguez, RD
• Rene Acuna Dominguez, MD

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.