Individual provider Active NPI

Dominic Joseph Diprinzio, PT, DPT

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1730863424
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215744 Issued in VA
Practice address
8390 Oswego Rd
Liverpool, NY 13090-1002
Phone
(315) 652-4323
NPI assigned
Jun 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 2305215744 VA Primary

Addresses

Primary practice location

8390 Oswego Rd
Liverpool, NY 13090-1002

Mailing address

413 S Warren St Ste 1
Syracuse, NY 13202-2731
Phone (703) 201-9149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000891 NY Practitioner - Physical Therapist in Private Practice 7214397231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215744VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Physical Therapy, LLC Physical Therapist Current Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

6265 State Route 31
Cicero, NY 13039

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

Organizations & group practices 4

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1730863424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S WARREN ST STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022731",
            "telephone_number": "703-201-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-652-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPRINZIO",
        "first_name": "DOMINIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.