Anna Victoria Domyancic, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2996 Issued in NH

Practice address

1040 Route 63
Spofford, NH 03462-3902

Phone

(603) 363-8068

NPI assigned

Sep 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Gerdomy, LLC

  • Physical Therapy Clinic/Center
  • Keene, NH
  • NPI 1417149642

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962507129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ROUTE 63",
            "city": "SPOFFORD",
            "state": "NH",
            "postal_code": "034623902",
            "telephone_number": "603-363-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ROUTE 63",
            "city": "SPOFFORD",
            "state": "NH",
            "postal_code": "034623902",
            "telephone_number": "603-363-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMYANCIC",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Christine Cheshire, PSY.D.
• Stephanie Lynn Thompson, COTA/L

• Physical Therapist in Spofford, NH
• Providers in Spofford, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.