Kristen T Domingo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30280 Issued in CA

Practice address

1055 Tierra del Rey
#C
Chula Vista, CA 91910-7875

Phone

(619) 656-5102

Fax

(619) 656-5143

NPI assigned

May 4, 2006

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eggleton & Langton Physical Therapy Management Services

  dba PRN Desert Rehabilitation Institute

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)
• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  NPD (past)
• Manual Orthopedic Physical Therapy Inc

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1326363011
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1720036502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TIERRA DEL REY",
            "address_2": "#C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107875",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TIERRA DEL REY",
            "address_2": "#C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107875",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "KRISTEN",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doc Kiddy Chiropractic, PC
• David Neal Dodd, D.C
• Kylie Elizabeth Dodson
• Zhanie Darl Lim Doliente, MHA
• Katrina Joy Domingo, PA-C
• Ana Beatriz Dominguez, DDS
• Caleb Dominguez, B.S., CET, CPT
• Delfina Edith Dominguez, LCSW
• Eula Dominguez, PHARMD
• Irene Dominguez, LPCC

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.