Active NPI
Charles Domnisch, PT, DPT
- Orthopedic Physical Therapist
- Washington, DC
National Provider Identifier
1578991394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT871511
- Practice address
- 1001 G St NW
Washington, DC 20001-4545 - Phone
- (202) 347-7745
- NPI assigned
- Oct 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT871511 | DC | Primary |
Addresses
Primary practice location
1001 G St NW
Washington, DC 20001-4545
Mailing address
2351 Eisenhower Ave
Apt 609
Alexandria, VA 22314-5359
Phone (516) 680-0937
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1578991394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 EISENHOWER AVE",
"address_2": "APT 609",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145359",
"telephone_number": "516-680-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 G ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014545",
"telephone_number": "202-347-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMNISCH",
"first_name": "CHARLES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "DC",
"license": "PT871511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
- Rosa Mariela Diaz Dominguez
- Steven Dominguez
- Dominique Transportation Services, LLC (Innovative Medical Transport)
- Myrna Altagrace Dominique, MD, MBA
- Yuliya Anatolievna Domnina, MD
- David Reid Domnitch, O.D.
- Jeanne Slora Domo Nejiotio
- Don Elliot Schwartz
- Daguse Donacin, NP
- Hillary Michelle Donahue, LGPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.