Active NPI
Luis Dominguez, DPT, PT
- Physical Therapist
- Pelham, NY
National Provider Identifier
1558274266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 056356
- Practice address
- 342 Fifth Ave
Pelham, NY 10803-1204 - Phone
- (914) 738-1748
- Fax
- (914) 738-1749
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 056356 | NY | Primary |
Addresses
Primary practice location
342 Fifth Ave
Pelham, NY 10803-1204
Mailing address
100 Dekruif PL
Apt 2B
Bronx, NY 10475
Phone (917) 736-5562
Other practice location 1
126 S Lexington Ave
White Plains, NY 10606-2510
Phone (914) 615-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1558274266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEKRUIF PL",
"address_2": "APT 2B",
"city": "BRONX",
"state": "NY",
"postal_code": "10475",
"telephone_number": "917-736-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FIFTH AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108031204",
"telephone_number": "914-738-1748",
"fax_number": "914-738-1749"
}
],
"practiceLocations": [
{
"address_1": "126 S Lexington Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106062510",
"country_code": "US",
"telephone_number": "914-615-9796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "LUIS",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "056356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.