Individual provider Active NPI

Pearl Domovich, DPT

  • Physical Therapist
  • Camp Hill, PA
National Provider Identifier
1790404861
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030647 Issued in PA
Practice address
255 N 29TH St
Camp Hill, PA 17011-2910
Phone
(717) 516-1505
NPI assigned
Aug 23, 2022
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 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

LicenseStateTypeSpecialty
PT030647PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2024 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.

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.

Verify at the official NPI Registry.