Adriana Dominguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00327300 Issued in NJ

Practice address

79 Union Blvd
Totowa, NJ 07512-2739

Phone

(973) 956-7807

Fax

(973) 956-7808

NPI assigned

Dec 17, 2015

Sex

Female

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

State licenses

Practice roles

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.

• Action Physical Therapy & Sports Rehabilitation Inc

  • Physical Therapist
  • Totowa, NJ
  • NPI 1033140819
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1649635608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122739",
            "telephone_number": "973-956-7807",
            "fax_number": "973-956-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122739",
            "telephone_number": "973-956-7807",
            "fax_number": "973-956-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ADRIANA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00327300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helenann Desimone, DDS
• Diamond in Homecare LLC
• Diana L Galvis DDS PC
• Victoria Lee Didonato
• Jeffrey Michael Digiore, PHARMD.
• DP Pediatrics LLC
• Dr. Mark D. Leodori, D.P.M.,P.a.
• Dr. Salvatore a. Conte Inc.
• Stephen Nicolas Dunay, MD, MHS
• Eastern Medical Transportation Corp

• Physical Therapy Assistant in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.