Domingo Faustino Mejia Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

576 Jefferson Ave
McDonald Army Health Center
Ft. Eustis, VA 23604-5548

Phone

(757) 314-7637

NPI assigned

May 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1609134162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 KISKIAK CIR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236915114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FT. EUSTIS",
            "state": "VA",
            "postal_code": "236045548",
            "telephone_number": "757-314-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "DOMINGO",
        "middle_name": "FAUSTINO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus F McDonald, DMD
• Davenna McGlone-Young, C.F.N.P.
• Denise McGuire, RDH
• Catherine McNeal, IDHS
• Gregory James Meighen, DMD
• Dina Menard Brown, NP
• Andrew Jordan Mishler, MD
• Susan Kaye Moore, NP
• Terria Moore, PA
• Jennifer Munn, PHARMD

• Physical Therapy Assistant in Ft. Eustis, VA
• Providers in Ft. Eustis, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.