Timothy P Domres, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8394 Issued in WA

Practice address

165 Lilly Rd NE Ste B
Olympia, WA 98506-5086

Phone

(856) 671-6000

Fax

(856) 671-6075

NPI assigned

Jan 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steamboat Physical Therapy, Inc.Group PAC ID 2365339348, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steamboat Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1912943762
  Medicare reassignment Care Compare group NPD
• Therapydia of Washington PC

  • Physical Therapist
  • Vancouver, WA
  • NPI 1902643992
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1851441729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065086",
            "telephone_number": "856-671-6000",
            "fax_number": "856-671-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065086",
            "telephone_number": "856-671-6000",
            "fax_number": "856-671-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMRES",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "8394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "91-1889011",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Doering
• Sierra Renee Doig, MA
• Gerald George Dolgash, DDS
• Derek George Dombroski, MD
• Sarah Olivia Dominguez
• Kelly C. Donahue, M.S., C.G.C.
• Donald a Sunde DMD PLLC
• Donald G Hovancsek, D.P.M. PS
• Donald G. Echols
• Marguerite Victoria Donaldson, LCSW, LICSW

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.