Active NPI
Judy Lee Domsic, OTRL
- Occupational Therapist
- Columbus, OH
National Provider Identifier
1740309749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2803
- Practice address
- 2000 Regency Manor Cir
Columbus, OH 43207-1777 - Phone
- (614) 445-8261
- Fax
- (614) 445-8050
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2803 | OH | Primary |
Addresses
Primary practice location
2000 Regency Manor Cir
Columbus, OH 43207-1777
Mailing address
8646 Woodlands CT
Pickerington, OH 43147-9751
Phone (614) 759-7815
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2803 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740309749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8646 WOODLANDS CT",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479751",
"telephone_number": "614-759-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 REGENCY MANOR CIR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071777",
"telephone_number": "614-445-8261",
"fax_number": "614-445-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMSIC",
"first_name": "JUDY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-2803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
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.