Active NPIIndividual providerSole proprietor

David J Domenico

Physical Therapy Assistant in North Smithfield, Rhode Island

NPI Number1336899582
Practice location
261 Main St, North Smithfield, RI 02896-7919
Fax
—
Last updated
March 28, 2022

David J Domenico is a Physical Therapy Assistant based in North Smithfield, RI. David J Domenico practices in North Smithfield, RI. The NPI Number for David J Domenico is 1336899582 and holds a License No. PTA01238 (RI). The current practice location address for David J Domenico is 261 Main St, North Smithfield, RI 02896-7919 and can be reached out via phone at 401-356-4777.

Provider Profile Details

NPI Number
1336899582
Provider Name
David J Domenico
Provider Entity Type
Individual
Gender
Male
Address
261 Main St, North Smithfield, RI 02896-7919
Phone Number
401-356-4777
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2022
Last Update Date
March 28, 2022
Certification Date
March 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
261 Main St
North Smithfield, RI 02896-7919
Zip
02896-7919
Phone Number
401-356-4777
North Smithfield, RI 02896Get directions →

Provider Business Mailing Address Details

Address
134 Caporal St
Cranston, RI 02910-2618
City
Cranston
State
RI
Zip
02910-2618

License Information

License Number
PTA01238
License State
RI
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David J Domenico?

The NPI number of David J Domenico is 1336899582. It was assigned on March 28, 2022 and is currently active in the NPPES registry.

What is the specialty of David J Domenico?

David J Domenico is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number PTA01238.

Where does David J Domenico practice?

The practice location is 261 Main St, North Smithfield, RI 02896-7919. The office can be reached at 401-356-4777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336899582 directly on the NPPES registry website.

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