Active NPI
Dorine Momanyi, DPT
- Physical Therapist
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1815 E Main St
Barstow, CA 92311-3234 - Phone
- (760) 256-2800
- Fax
- (760) 256-2809
- NPI assigned
- Apr 18, 2022
- Last updated
- Apr 19, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1815 E Main St
Barstow, CA 92311-3234
Mailing address
330 Franklin Rd Ste 135a-102
Brentwood, TN 37027-3280
Phone (760) 256-2800
Other practice location 1
18375 Outer Hwy 18 Ste 6
Apple Valley, CA 92307-2218
Phone (760) 242-3963
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
| RPM Rebah, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1460 Chapel Ridge Rd
Ste 150
Apex, NC 27502
Phone (919) 363-3640
3814 Rural Retreat Rd
Ste 103
Burlington, NC 27215
Phone (743) 241-3020
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
Organizations & group practices 3
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1770226706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FRANKLIN RD STE 135A-102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273280",
"telephone_number": "760-256-2800",
"fax_number": "760-256-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113234",
"telephone_number": "760-256-2800",
"fax_number": "760-256-2809"
}
],
"practiceLocations": [
{
"address_1": "18375 Outer Hwy 18 Ste 6",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923072218",
"country_code": "US",
"telephone_number": "760-242-3963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOMANYI",
"first_name": "DORINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.