Active NPI
Theodora Marie Dombkowski
- Physical Therapist
- Sunset Valley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5400 Brodie LN Ste 295
Sunset Valley, TX 78745-2525 - Phone
- (512) 676-3949
- NPI assigned
- Jun 9, 2021
- 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 | Primary |
Addresses
Primary practice location
5400 Brodie LN Ste 295
Sunset Valley, TX 78745-2525
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715000031 | TX | Practitioner - Physical Therapist in Private Practice | 2860894755 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ideal Physical Therapy of Texas LLC
Practice addresses (Care Compare)
5400 Brodie LN
Suite 295
Sunset Valley, TX 78745-2525
Phone (512) 676-3949
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 89.74
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1700 E Oltorf St
Ste 105
Austin, TX 78741
Phone (512) 652-0014
8900 S Congress Ave
Ste 400
Austin, TX 78745
Phone (210) 422-9203
10815 Ranch Road 2222
Unit 205
Austin, TX 78730
Phone (512) 975-7379
1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2501 Ranch Road 620 S
Ste 140
Lakeway, TX 78738
Phone (512) 527-6944
1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 5
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Durable Medical Equipment & Medical Supplies
- Rowlett, TX
- NPI 1003579590
-
- Durable Medical Equipment & Medical Supplies
- Allen, TX
- NPI 1386261279
-
- Durable Medical Equipment & Medical Supplies
- Sunset Valley, TX
- NPI 1508555897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1831766765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BRODIE LN STE 295",
"city": "SUNSET VALLEY",
"state": "TX",
"postal_code": "787452525",
"telephone_number": "512-676-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBKOWSKI",
"first_name": "THEODORA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunset Valley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.