Active NPI
Domonique Gomes, P.T.A.
- Mechanotherapist
- Palm Harbor, FL
National Provider Identifier
1689097420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- PTA24533
- Practice address
- 34921 US Highway 19 N
Palm Harbor, FL 34684-1969 - Phone
- (800) 251-8998
- NPI assigned
- Jan 30, 2014
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | PTA24533 | FL | Primary |
Addresses
Primary practice location
34921 US Highway 19 N
Palm Harbor, FL 34684-1969
Mailing address
34921 US Highway 19 N
Palm Harbor, FL 34684-1969
Phone (800) 251-8998
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA24533 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1689097420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34921 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841969",
"telephone_number": "800-251-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34921 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841969",
"telephone_number": "800-251-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "DOMONIQUE",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "PTA24533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.