Rey Exclamador Dumaog

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

106224 Issued in IA

Practice address

Millennium Therapy Rehabilitation Center 2700 1St Avenu
Fort Dodge, IA 50501

Phone

(515) 955-6922

NPI assigned

Dec 14, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1952060220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW SHARMIN LN",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238933",
            "telephone_number": "151-523-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILLENNIUM THERAPY REHABILITATION CENTER 2700 1ST AVENU",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-955-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAOG",
        "first_name": "REY",
        "middle_name": "EXCLAMADOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "091762",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "106224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Ryan J Brown PC
• Breann Drees, MS, LAT, ATC, CSCS
• Steven Drew, CADC
• Nicholas J Drzycimski, D.D.S.
• Marie Joan Duclos
• Gerald Peter Dunn
• Megan Renee Eastman, ARNP
• Mariah Raeann Eastwood
• Marcella Maria Echevarria
• Harvey Joel Eernisse, PHARMACIST

• Physical Therapist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.