Shalynn Dominguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

4119 NW Barry Rd
Kansas City, MO 64154-1100

Phone

(816) 452-4488

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Shalynn Gwen Loring Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1730965666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SHERMAN ST",
            "city": "WATHENA",
            "state": "KS",
            "postal_code": "660904114",
            "telephone_number": "785-243-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541100",
            "telephone_number": "816-452-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Roseport Rd",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "KS",
            "postal_code": "66024",
            "country_code": "US",
            "telephone_number": "913-348-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "SHALYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALYNN",
            "last_name": "LORING",
            "middle_name": "GWEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Susan Dolezal, PA-C
• Sarah Anne Doll, FNP
• Ana Dolsky
• Nevan Dominguez, ATC
• Sarah B Dominguez, P.T.
• Samantha Donahoo, S-MFT
• Rachael L Donahou, RN
• Alison Marie Donahue
• Donald Hopewell MD LLC
• Blake H Donaldson, D.O.

• Physical Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.