Active NPI
Dominique Jarrett, MPT
- Physical Therapist
- Easton, MD
National Provider Identifier
1720169402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17552
- Practice address
- 598 Cynwood Dr Ste 101
Easton, MD 21601-3805 - Phone
- (410) 770-9720
- Fax
- (410) 770-9725
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17552 | MD | Primary |
Addresses
Primary practice location
598 Cynwood Dr Ste 101
Easton, MD 21601-3805
Mailing address
598 Cynwood Dr Ste 101
Easton, MD 21601-3805
Phone (410) 770-9720
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17552 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Hill Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Homecare Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Homecare Rehab and Nursing LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- Frederick, MD
- NPI 1235387762
Physical Therapist
-
- Speech/Language/Hearing Specialist/Technologist
- Frederick, MD
- NPI 1336254192
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720169402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR STE 101",
"city": "EASTON",
"state": "MD",
"postal_code": "216013805",
"telephone_number": "410-770-9720",
"fax_number": "410-770-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR STE 101",
"city": "EASTON",
"state": "MD",
"postal_code": "216013805",
"telephone_number": "410-770-9720",
"fax_number": "410-770-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "DOMINIQUE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.