Dominick Haynes

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT39058 Issued in FL

Practice address

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502

Phone

(407) 573-3361

Fax

(407) 395-8309

NPI assigned

Mar 6, 2023

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

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.91 of 100Reported as group

Quality

61.18

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032

  Orthopedic

  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1831899293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 N Alafaya Trl Ste 209",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328284353",
            "country_code": "US",
            "telephone_number": "407-658-4637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DOMINICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT39058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Denise Hastings, M.S.
• Lowelyn Hatulan
• Stephanie Patricia Haubrock, NP-C
• Hawa Pharmacy Inc
• Thomas Aric Hawkins, DMD
• Rachel Llynne Hayward, FNP-BC
• Health 1St Medical and Rehabilitation LLC
• Healthful Living Way LLC
• Healy Chiropractic and Wellness Center LLC
• Healy LLC

• Orthopedic Physical Therapist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.