Diana Marie Domaingue, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28445 Issued in FL

Practice address

1181 Blackwood Ave
Ocoee, FL 34761-4518

Phone

(407) 292-0073

Fax

(407) 292-9666

NPI assigned

Oct 3, 2013

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)

Enrolled

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1699102723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 BLACKBURN CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656171",
            "telephone_number": "904-254-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-292-0073",
            "fax_number": "407-292-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAINGUE",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxi McKenize Dillon, LMHC
• Jamie Dimacchia, LMHC
• Cecelia Anh Thu Bach Dinh, APRN
• Bruce Martin Dixon, DO
• Dna Comprehensive Therapy Services, LLC
• Gabriel Dominguez-Contreras
• Marc Hanson Donassaint
• Gustave Recardo Dowling III, BCBA
• Eric Carl Downes, M.D.
• Dr. Mark G. Brooks MD PA

• Physical Therapist in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.