Individual provider Active NPI

Domenic J Pompile, PT,CSCS

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1578752945
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018160 Issued in FL
Practice address
3416 S Federal Hwy
Vado Therapy
Delray Beach, FL 33483-3227
Phone
(561) 450-6487
Fax
(561) 450-6526
NPI assigned
Oct 22, 2007
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018160 FL
Physical Therapist 225100000X 018160 FL Primary

Addresses

Primary practice location

3416 S Federal Hwy
Vado Therapy
Delray Beach, FL 33483-3227

Mailing address

3416 S Federal Hwy
Vado Therapy
Delray Beach, FL 33483-3227
Phone (561) 450-6487

Other identifiers 1

IdentifierTypeStateIssuer
FM007AOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000361 FL Practitioner - Physical Therapist in Private Practice 3072575497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7491 N Federal Hwy
Suite C16
Boca Raton, FL 33487-1688
Phone (561) 450-6487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018160FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Rehabilitation, Inc. Physical Therapist CurrentSince Oct 1, 2011 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Specialist Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

7491 N Federal Hwy
Ste C16
Boca Raton, FL 33487
Phone (561) 330-1945

3416 S Federal Hwy
Delray Beach, FL 33483
Phone (561) 372-9251

Organizations & group practices 4

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1578752945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 S FEDERAL HWY",
            "address_2": "VADO THERAPY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833227",
            "telephone_number": "561-450-6487",
            "fax_number": "561-450-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 S FEDERAL HWY",
            "address_2": "VADO THERAPY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833227",
            "telephone_number": "561-450-6487",
            "fax_number": "561-450-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPILE",
        "first_name": "DOMENIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "018160",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "018160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FM007A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.