Individual provider Active NPI

Dorine Momanyi, DPT

  • Physical Therapist
  • Barstow, CA
National Provider Identifier
1770226706
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 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

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jun 21, 2024 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.

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.

Verify at the official NPI Registry.