Individual provider Active NPI

Dominic Aloma, MSPT

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1699708602
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 18699 Issued in FL
Practice address
13163 SW 16TH St
Davie, FL 33325-5729
Phone
(954) 588-1453
Fax
(954) 474-0777
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 18699 FL Primary

Addresses

Primary practice location

13163 SW 16TH St
Davie, FL 33325-5729

Mailing address

13163 SW 16TH St
Davie, FL 33325-5729
Phone (954) 588-1453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000175 FL Practitioner - Physical Therapist in Private Practice 2860441086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 18699FLMDPhysical Therapist

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Care Home Health Services LLCDavie, FL, CCN 109076 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
Sep 18, 2007
Jan 29, 2007
Sep 18, 2007
Sep 18, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1699708602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13163 SW 16TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255729",
            "telephone_number": "954-588-1453",
            "fax_number": "954-474-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13163 SW 16TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255729",
            "telephone_number": "954-588-1453",
            "fax_number": "954-474-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOMA",
        "first_name": "DOMINIC",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.