Active NPI
Loraine Domado, PT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1619166048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3201 W. Commercial Blvd.
Suite 116
Fort Lauderdale, FL 33309-3440 - Phone
- (954) 332-4445
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | FL | Primary |
Addresses
Primary practice location
3201 W. Commercial Blvd.
Suite 116
Fort Lauderdale, FL 33309-3440
Mailing address
3290 North Ridge Road
Suite 290 Executive Center II
Ellicott, MD 21043-3655
Phone (410) 750-9006
Other names 1
- Miss Loraine Cruz
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1033353339
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": "1193011200000",
"number": "1619166048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 NORTH RIDGE ROAD",
"address_2": "SUITE 290 EXECUTIVE CENTER II",
"city": "ELLICOTT",
"state": "MD",
"postal_code": "210433655",
"telephone_number": "410-750-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W. COMMERCIAL BLVD.",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093440",
"telephone_number": "954-332-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMADO",
"first_name": "LORAINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORAINE",
"last_name": "CRUZ",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.