Junzen Ballesil Domingo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27829 Issued in FL

Practice address

5269 Rivermil LN
Lake Worth, FL 33463

Phone

(561) 699-6284

NPI assigned

Jul 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Networks

• Freedom Health HMO Network

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.

• Rajipo LLC

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1922739598
  Medicare reassignment
• Florida Rehability at Home, LLC

  • Physical Therapist
  • Oldsmar, FL
  • NPI 1932643780
  NPD

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1558616052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 RIVERMILL LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637436",
            "telephone_number": "561-699-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 RIVERMIL LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-699-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "JUNZEN",
        "middle_name": "BALLESIL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "D552-4227-8028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctor S First Choice Glucose Monitoring Devices LLC
• Doctors Group, Inc.
• Dolce Dental
• Vincent Michael Dolce, D.M.D.
• William Domeyer, D.D.S., M.S., P.A.
• Yusimi Dominguez Hernandez, ARNP
• Yaliagny Dominguez Tamayo
• Nathalie Dominguez, ARNP
• Louis F Donaghue, M.D.
• Farrah Doner

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.