Megan Rose Dominguez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

18009 Issued in CA

Practice address

3025 Pyrites St
Los Angeles, CA 90032-2627

Phone

(310) 569-8183

NPI assigned

Nov 15, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

• The Healing Pelvis

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1326867185
  NPD Authorized official
• Pearl Chiropractic Inc

  • Chiropractor
  • Long Beach, CA
  • NPI 1871105031
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1629613435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 N FIGUEROA ST UNIT B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424004",
            "telephone_number": "323-736-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 PYRITES ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322627",
            "telephone_number": "310-569-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dominguez
• Kimberly Dominguez
• Liseth Dominguez, DPT
• Luz Maria Dominguez
• Maria Dominguez, LMFT
• Rachel Dominguez
• Racquel Dominguez
• Roberto Dominguez, MFT
• Rose Dominguez, CADAC
• Rosie V Dominguez, LCSW

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.