Dominic Robert Affuso

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5333 Issued in AZ

Practice address

17300 N 88TH Ave
Peoria, AZ 85382-3501

Phone

(480) 340-1750

NPI assigned

Mar 13, 2022

Last updated

Mar 13, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1952059552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31611 N 132ND DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837958",
            "telephone_number": "480-340-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N 88TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823501",
            "telephone_number": "480-340-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFUSO",
        "first_name": "DOMINIC",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Idk",
            "affiliation": "N",
            "address_1": "17300 N 88th Ave",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853823501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Advent LLC (Glaucoma Center of Arizona)
• Aegis Medical Care of Az, PC (Del Lago Family Medicine)
• Afc of Peoria, PLLC
• Afc of Peoria, PLLC
• Affiliated Internal Medicine Associates, LLC
• Jennifer Affuso
• Agape Primary Care, PLLC
• Pradeep Kumar Agarwal, MD
• Rashi Agarwal, M.D.
• Ashim Aggarwal, MD

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.