Individual provider Active NPI

Maria Sheila Rasonabe Sto Domingo, P.T.

  • Physical Therapist
  • Elizabeth, NJ
National Provider Identifier
1790731370
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00984400 Issued in NJ
Practice address
560 Newark Ave
Elizabeth, NJ 07208-3307
Phone
(908) 355-3358
Fax
(908) 355-6614
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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 40QA00984400 NJ Primary

Addresses

Primary practice location

560 Newark Ave
Elizabeth, NJ 07208-3307

Mailing address

7 Ardsley SQ
Parlin, NJ 08859-2303
Phone (732) 952-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000004 NJ Practitioner - Physical Therapist in Private Practice 6709822117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Health and Rehabilitation, LLCGroup PAC ID 1153365457, 3 clinicians

Practice addresses (Care Compare)

222 N Ave W
Suite 1
Westfield, NJ 07090-1495
Phone (908) 928-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00984400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Airport Plaza Spine & Wellness LLC Physical Therapist CurrentSince Jul 6, 2016 Accepting new patients
Core Spine & Wellness LLC CurrentSince Apr 20, 2016 Accepting new patients
Westfield Health & Rehabilitation, LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Clifton Orthopedic Associates P.a. Past Accepting new patients
Rehability Sports Medicine, LLC Physical Therapist PastSince Nov 6, 2019 Accepting new patients
Quadcare Past Accepting new patients

Locations

180 Tices Ln
Ste 105
East Brunswick, NJ 08816
Phone (732) 253-5450

1354 State Route 36
Hazlet, NJ 07730
Phone (732) 264-2233

15 N Main St
Milltown, NJ 08850
Phone (732) 253-5450

222 North Ave W
Ste 1
Westfield, NJ 07090
Phone (908) 928-1000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1790731370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ARDSLEY SQ",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592303",
            "telephone_number": "732-952-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083307",
            "telephone_number": "908-355-3358",
            "fax_number": "908-355-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASONABE STO DOMINGO",
        "first_name": "MARIA",
        "middle_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00984400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.