Brittany Nicole Domingo, MA, LAT, ATC
Individual provider Active NPI Athletic Trainer · Athens, WV
NPI 1497289482 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1497289482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1000 Vermillion St
Box C688
Athens, WV 24712-9027 - Phone
- (681) 422-9113
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1000 Vermillion St
Box C688
Athens, WV 24712-9027
Mailing address
595 Caldwell St Apt a
Princeton, WV 24739-9410
Phone (681) 422-9113
Other providers in Athens, WV
- Miranda Dawn Cline
- Tessa Renee Conner
- Aaron Cooper
- Trina Jo Cox
- Helen J Craft
- Victoria Denise Finley
- Armando S. Frutos Jr.
- Katelyn Golinsky
- Amber Marie Green
- Greenbrier Valley Physical Therapy LLC
All providers in Athens, WV · Athletic Trainer in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.