Stephanie S Domingo, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

808 Issued in HI

Practice address

155 Hamakua Dr Ste B
Kailua, HI 96734-2849

Phone

(808) 261-8931

NPI assigned

Nov 2, 2009

Last updated

Nov 2, 2009By the provider in NPPES

Sex

Female

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 HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kailua Physical Therapy Clinic, IncGroup PAC ID 0042293763, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kailua Physical Therapy Clinic, Inc

  • Specialist
  • Kailua, HI
  • NPI 1003004896
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1902132533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HAMAKUA DR STE B",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342849",
            "telephone_number": "808-261-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAMAKUA DR STE B",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342849",
            "telephone_number": "808-261-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "808",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary H Dodd, LCSW
• Kerian Dodds, M.D.
• Jennifer Lynn Doerrige, M.D.
• Madison Doherty
• Britt Dolbeck, LMHC
• Don Quijote (USA) Co., LTD. (Don Quijote Drugs)
• Alec Drew Donnelly
• Lynn Shirley Donovan, RBT
• Doug Schwartzsmith PSYD, LTD
• Teneil Kari Dow-Pelt

• Specialist in Kailua, HI
• Providers in Kailua, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.