Jose A Dominguez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007707L Issued in PA

Practice address

6375 Mercury Drive
Suite 100
Mechanicsburg, PA 17050

Phone

(717) 591-3000

Fax

(717) 591-3003

NPI assigned

Sep 28, 2006

Last updated

Sep 29, 2010By the provider in NPPES

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Orthopedic and Spine Physical Therapy, Inc.Group PAC ID 0143113324, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Orthopedic & Spine Physical Therapy, Inc.

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1164533303
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Physical Therapy

  • Physical Therapist
  • Carlisle, PA
  • NPI 1811095631
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1861583312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DRIVE",
            "address_2": "SUITE 100",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-591-3000",
            "fax_number": "717-591-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DRIVE",
            "address_2": "SUITE 100",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-591-3000",
            "fax_number": "717-591-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007707L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078126060002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Ditzler, LAPC
• Diverse Support and Consulting Services LLC
• Ashley Dodd, RBT
• Megan Ann Doherty, PTA
• Lindsay Deringer Dolan, L.C.S.W.
• Mary Dominguez
• Kelly Donahue, RN
• Alysa A Donaldson, DMD
• Ashley Nicole Donmoyer, LSW
• Trevor Donovan, MS, LPC, NCC

• Physical Therapist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.