Active NPIIndividual providerSole proprietor

Timothy R Dominick, DPT

Physical Therapist in Sherwood, Oregon

NPI Number1356342661
Practice location
16770 SW Edy RD Ste 310, Sherwood, OR 97140-9679
Fax
503-216-9732
Last updated
August 6, 2024

Timothy R Dominick, DPT is a Physical Therapist based in Sherwood, OR. Timothy R Dominick, DPT holds the professional credentials of DPT. The NPI number for Timothy R Dominick, DPT is 1356342661 and holds license No. 26238 (CA). The current practice location address is 16770 SW Edy RD Ste 310, Sherwood, OR 97140-9679 and the office can be reached by phone at 503-216-9731 and by fax at 503-216-9732. The NPI was assigned on August 9, 2005 and the record was last updated in NPPES on August 6, 2024.

●Provider Profile Details

NPI Number
1356342661
Provider Name
Timothy Robert Dominick
Credential
DPT
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Enumeration Date
August 9, 2005
Last Update Date
August 6, 2024
Certification Date
August 6, 2024
NPI Status
Active

◉Business Practice Location Address

Address
16770 SW Edy RD Ste 310
Sherwood, OR 97140-9679
State
Oregon
ZIP
97140-9679
Country
US
Phone Number
503-216-9731
Fax Number
503-216-9732

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✉Business Mailing Address

Address
16310 SW Palermo Ln
Tigard, OR 97223-0692
City
Tigard
State
OR
ZIP
97223-0692
Phone Number
503-577-0942

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist225100000XNo26238CA
Physical Therapist, Orthopedic2251X0800XNo5149OR
Physical Therapist225100000XYes5149OR

#Other Provider Identifiers

No legacy or other 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 Timothy R Dominick, DPT?

The NPI number of Timothy R Dominick, DPT is 1356342661. It was assigned on August 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Timothy R Dominick, DPT?

Timothy R Dominick, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 26238 (CA).

Where does Timothy R Dominick, DPT practice?

The practice location is 16770 SW Edy RD Ste 310, Sherwood, OR 97140-9679. The office can be reached at 503-216-9731 (phone) or 503-216-9732 (fax).

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 1356342661 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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