Active NPI
Domenic J Errico, MPT
- Geriatric Physical Therapist
- Blythe, CA
National Provider Identifier
1730387481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 32492
- Practice address
- 1000 N Lovekin Blvd Unit 48
Blythe, CA 92225-1033 - Phone
- (760) 989-8447
- NPI assigned
- Jul 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 32492 | CA | Primary |
| Geriatric Physical Therapist | 2251G0304X | 3463 | OR |
Addresses
Primary practice location
1000 N Lovekin Blvd Unit 48
Blythe, CA 92225-1033
Mailing address
1000 N Lovekin Blvd Unit 48
Blythe, CA 92225-1033
Phone (760) 989-8447
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 |
|---|---|---|---|
| 32492 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730387481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N LOVEKIN BLVD UNIT 48",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922251033",
"telephone_number": "760-989-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LOVEKIN BLVD UNIT 48",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922251033",
"telephone_number": "760-989-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERRICO",
"first_name": "DOMENIC",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "32492",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OR",
"license": "3463",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythe, CA
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.