Eric Neal Domgaard, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10264255-4201 Issued in UT

Practice address

121 W Tabernacle St
St George, UT 84770-3338

Phone

(435) 673-3553

NPI assigned

Jun 21, 2022

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085
  Medicare reassignment NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)
• Washington County School District

  • Local Education Agency (LEA)
  • St George, UT
  • NPI 1366472763
  NPD (past)
• Washington County School District Preschool

  • Local Education Agency (LEA)
  • St George, UT
  • NPI 1588768774
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1609507672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 E CHURCH ROCKS DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905001",
            "telephone_number": "435-590-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703338",
            "telephone_number": "435-673-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMGAARD",
        "first_name": "ERIC",
        "middle_name": "NEAL",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "UT",
            "license": "10264255-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaren Dodge
• Hannah Doherty, MS,RD
• Meggin Janell Dolberg, LMT
• Tara Dole
• Timber Dolezal
• Kaden Dominguez
• Sherri Lynn Dominguez, CSW
• Selena Donaldson
• John Thomas Dooley
• Rylee Alexis Dordahl

• Pediatric Occupational Therapist in St George, UT
• Providers in St George, UT by specialty
• Pediatric Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.