Manuel Domingo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030341-01 Issued in NY

Practice address

32 Hansen St
Tappan, NY 10983-1717

Phone

(845) 480-2593

Fax

(201) 564-7514

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Physical Therapy Rehab of Ny P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1134775174

  Physical Therapist

  Medicare reassignment NPD
• Dynamic at Home

  • Rehabilitation Clinic/Center
  • Tappan, NY
  • NPI 1396420626
  NPD
• Dynamic OT at Home PC

  • Physical Medicine & Rehabilitation Physician
  • Tappan, NY
  • NPI 1467260638
  NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1912740879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 STATE ROUTE 26",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138506207",
            "telephone_number": "607-373-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HANSEN ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831717",
            "telephone_number": "845-480-2593",
            "fax_number": "201-564-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "MANUEL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030341-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alastair Leopold Chillrud, MASSAGE THERAPY LLC
• Ci Aronson DDS PC (Rockland Dentist)
• Laura Coffey, RN
• Thomas Colgan
• Martin K Diner, M.D., PH.D.
• Dynamic at Home
• Dynamic OT at Home PC
• Early Childhood Program
• Essential Podiatry PC
• Nancy Ann Feher, OTR/L

• Physical Therapist in Tappan, NY
• Providers in Tappan, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.