Individual provider Active NPI

Jessica Louise Dominguez, D.P.T.

  • Physical Therapist
  • Salinas, CA
National Provider Identifier
1609929041
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33363 Issued in CA
Practice address
321 E Romie LN
Suite B
Salinas, CA 93901-3168
Phone
(831) 757-6834
Fax
(831) 757-9378
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33363 CA Primary

Addresses

Primary practice location

321 E Romie LN
Suite B
Salinas, CA 93901-3168

Mailing address

321 E Romie LN
Suite B
Salinas, CA 93901-3168
Phone (831) 757-6834

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prunedale Physical Therapy Physical Therapist CurrentSince Aug 31, 2010 Accepting new patients
Active Life Rehab, Inc. Physical Therapist CurrentSince Sep 4, 2011 Accepting new patients
OB GYN Associates of the Central Coast Past Accepting new patients

Locations

2111 S El Camino Real
Ste 200
Oceanside, CA 92054
Phone (760) 722-3202

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

321 E Romie Ln
Ste B
Salinas, CA 93901
Phone (408) 757-6834

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1609929041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROMIE LN",
            "address_2": "SUITE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013168",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ROMIE LN",
            "address_2": "SUITE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013168",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JESSICA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.