Kelly Domogauer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01879500 Issued in NJ

Practice address

2809 Route 88
Point Pleasant Boro, NJ 08742-2839

Phone

(732) 475-6745

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Be Balanced PTGroup PAC ID 3678000775, 2 clinicians

Pinnacle Rehabilitation and Sports Medicine, LLPGroup PAC ID 8628359122, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Balanced PT

  • Physical Therapy Clinic/Center
  • Toms River, NJ
  • NPI 1396564613

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pinnacle Rehabilitation & Sports Medicine,LLP

  • Orthopedic Physical Therapist
  • Brick, NJ
  • NPI 1356890529
  Medicare reassignment Care Compare group NPD
• Be Balanced Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Toms River, NJ
  • NPI 1023529724

  Physical Therapist

  NPD

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1770132334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAPRI DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 ROUTE 88",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422839",
            "telephone_number": "732-475-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOGAUER",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01879500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen M Desantis, LCSW
• Nicole Ditchkus, OTR
• Catello Divuolo, RPH
• Suzanne Hoagland Doctor, PTA
• Joseph E Domanski, M.D.
• Lauren Donovan, PT
• Christine Drennan, MS, PT
• Cara Nicolasa Dyer
• East Coast Nutrition & Wellness
• Emily Bessemer, LLC (EmBodied Physical Therapy)

• Physical Therapist in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.