Dominador Tallo Jimenez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012055 Issued in NY

Practice address

1630 E 15TH St
Brooklyn, NY 11229-1147

Phone

(718) 787-3000

NPI assigned

Oct 1, 2009

Sex

Male

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

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1780918177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "718-787-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "718-787-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DOMINADOR",
        "middle_name": "TALLO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jimenez
• Carina M Jimenez
• Carmen Jimenez
• Claudio Jimenez
• Danielle Reyes Jimenez, LMSW
• Gary Guillermo Jimenez, ATC
• Henry Jimenez
• Joany Jimenez, LMT, MMP
• Juan Carlos Jimenez
• Kasey Jimenez

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.