Active NPI
Pearl Domovich, DPT
- Physical Therapist
- Camp Hill, PA
National Provider Identifier
1790404861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030647
- Practice address
- 255 N 29TH St
Camp Hill, PA 17011-2910 - Phone
- (717) 516-1505
- NPI assigned
- Aug 23, 2022
- Last updated
- Mar 24, 2025
- 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 | PT030647 | PA | Primary |
Addresses
Primary practice location
255 N 29TH St
Camp Hill, PA 17011-2910
Mailing address
11 Parkside Dr
Hummelstown, PA 17036-9280
Phone (610) 704-7112
Other practice location 1
124 Merchant Ave
Mount Joy, PA 17552-1175
Phone (717) 207-7992
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 |
|---|---|---|---|
| PT030647 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolute Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
124 Merchant Ave
Mount Joy, PA 17552
Phone (717) 207-7992
Organizations & group practices 1
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 Therapy Clinic/Center
- Mount Joy, PA
- NPI 1649011594
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1790404861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARKSIDE DR",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369280",
"telephone_number": "610-704-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N 29TH ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112910",
"telephone_number": "717-516-1505"
}
],
"practiceLocations": [
{
"address_1": "124 Merchant Ave",
"address_purpose": "LOCATION",
"city": "Mount Joy",
"state": "PA",
"postal_code": "175521175",
"country_code": "US",
"telephone_number": "717-207-7992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMOVICH",
"first_name": "PEARL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.