Active NPIIndividual providerSole proprietor

Isabella G Domingues, COTA/L

Occupational Therapy Assistant in Goshen, New York

NPI Number1558266353
Practice location
2001 Nys Route 17M, Goshen, NY 10924
Fax
—
Last updated
October 12, 2026

Isabella Grace Domingues is an Occupational Therapy Assistant based in Goshen, NY. Isabella Grace Domingues practices in Goshen, NY and has the professional credentials of COTA/L. The NPI Number for Isabella Grace Domingues is 1558266353 and holds a License No. 011879 (NY). The current practice location address for Isabella Grace Domingues is 2001 Nys Route 17M, Goshen, NY 10924 and can be reached out via phone at 845-458-8661.

Provider Profile Details

NPI Number
1558266353
Provider Name
Isabella Grace Domingues
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
2001 Nys Route 17M, Goshen, NY 10924
Phone Number
845-458-8661
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 12, 2026
Last Update Date
October 12, 2026
Certification Date
October 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2001 Nys Route 17M
Goshen, NY 10924
City
Goshen
Zip
10924
Phone Number
845-458-8661
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
153 Viola St
Wallkill, NY 12589-4414
City
Wallkill
State
NY
Zip
12589-4414

License Information

License Number
011879
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Isabella G Domingues, COTA/L?

The NPI number of Isabella G Domingues, COTA/L is 1558266353. It was assigned on October 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Isabella G Domingues, COTA/L?

Isabella G Domingues, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 011879.

Where does Isabella G Domingues, COTA/L practice?

The practice location is 2001 Nys Route 17M, Goshen, NY 10924. The office can be reached at 845-458-8661 (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 1558266353 directly on the NPPES registry website.

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