Individual provider Active NPI

Sarah B Dominguez, P.T.

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1497836787
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2003007571 Issued in MO
Practice address
601 E 63Rd St Ste 230
Kansas City, MO 64110-3303
Phone
(816) 569-2802
Fax
(816) 569-5436
NPI assigned
Oct 17, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2003007571 MO Primary
Physical Therapist 225100000X 11-03922 KS

Addresses

Primary practice location

601 E 63Rd St Ste 230
Kansas City, MO 64110-3303

Mailing address

601 E 63Rd St Ste 230
Kansas City, MO 64110-3303
Phone (816) 569-2802

Other practice location 1

406 Armour Rd Ste 200
Kansas City, MO 64116-3558
Phone (816) 895-9126

Other practice location 2

6701 W 121st St Ste 300
Leawood, KS 66209-2034
Phone (913) 498-8492

Other practice location 3

4910 Corporate Centre Dr Ste 121
Lawrence, KS 66047-1002
Phone (785) 236-5434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031119000139 MO Practitioner - Physical Therapist in Private Practice 5698689081 Reassigns benefits to 1 organization
I20130515000252 KS Practitioner - Physical Therapist in Private Practice 5698689081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Foundational Concepts IncGroup PAC ID 2961648126, 18 clinicians

Practice addresses (Care Compare)

400 SW Longview Blvd
Suite 210
Lees Summit, MO 64081-2117
Phone (816) 705-2998

4910 Corporate Centre Dr
Suite 121
Lawrence, KS 66047-1002
Phone (785) 236-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03922KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Worth MSW, LCSW, LLC PastSince Oct 13, 2021 Accepting new patients
BDM Associates LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1497836787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 63RD ST STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103303",
            "telephone_number": "816-569-2802",
            "fax_number": "816-569-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 63RD ST STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103303",
            "telephone_number": "816-569-2802",
            "fax_number": "816-569-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Armour Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641163558",
            "country_code": "US",
            "telephone_number": "816-895-9126",
            "fax_number": "816-569-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 W 121st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662092034",
            "country_code": "US",
            "telephone_number": "913-498-8492",
            "fax_number": "913-498-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4910 Corporate Centre Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660471002",
            "country_code": "US",
            "telephone_number": "785-236-5434",
            "fax_number": "913-498-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "SARAH",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003007571",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.