Active NPI
Arlyn Suzette Dominguez Cordova
- Physical Therapist
- Flint, MI
National Provider Identifier
1851956148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009966
- Practice address
- 3011 N Center Rd
Flint, MI 48506-3149 - Phone
- (810) 736-0600
- NPI assigned
- May 2, 2019
- 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 | 5501009966 | MI | Primary |
Addresses
Primary practice location
3011 N Center Rd
Flint, MI 48506-3149
Mailing address
6216 Sanctuary Pointe Dr
Grand Blanc, MI 48439-9028
Phone (810) 394-3625
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009966 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1851956148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 SANCTUARY POINTE DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484399028",
"telephone_number": "810-394-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N CENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485063149",
"telephone_number": "810-736-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ CORDOVA",
"first_name": "ARLYN SUZETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.