Active NPI
Jorge Andres Dominguez
- Pediatric Physical Therapist
- Miami, FL
National Provider Identifier
1487578043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT45096
- Practice address
- 9767 SW 72ND St
Miami, FL 33173-4615 - Phone
- (786) 785-8990
- NPI assigned
- Aug 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT45096 | FL | Primary |
Addresses
Primary practice location
9767 SW 72ND St
Miami, FL 33173-4615
Mailing address
15528 SW 172ND Ter
Miami, FL 33187-1360
Phone (305) 527-0599
Other practice location 1
15528 SW 172nd Ter
Miami, FL 33187-1360
Phone (305) 527-0599
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Now Holdings, LLC | Pediatrics | Past | Accepting new patients |
| Sportz Rehab LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Miami, FL
- NPI 1013557826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1487578043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15528 SW 172ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331871360",
"telephone_number": "305-527-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9767 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734615",
"telephone_number": "786-785-8990"
}
],
"practiceLocations": [
{
"address_1": "15528 SW 172nd Ter",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331871360",
"country_code": "US",
"telephone_number": "305-527-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "JORGE",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT45096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.