Individual provider Active NPI

Michael Dominy, MT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1558067389
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0024506 Issued in CO
Practice address
10 Boulder Crescent St Ste 203E
Colorado Springs, CO 80903-3355
Phone
(518) 593-4119
NPI assigned
Feb 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0024506 CO Primary

Addresses

Primary practice location

10 Boulder Crescent St Ste 203E
Colorado Springs, CO 80903-3355

Mailing address

243 Shady Oak GRV
Colorado Springs, CO 80916-1662
Phone (518) 593-4119

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT.0024506COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhone River Massage PastSince Feb 1, 2023 Accepting new patients
Rhone River Massage Massage Therapist PastSince Feb 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1558067389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 SHADY OAK GRV",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809161662",
            "telephone_number": "518-593-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 203E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033355",
            "telephone_number": "518-593-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINY",
        "first_name": "MICHAEL",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0024506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.