DOMINIQUE WILSON (NPI# 1225502065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225502065 |
| Entity Type | Individual |
| Full Name | DOMINIQUE WILSON |
| Credential | DPT, CLT |
| Practice Address |
14405 Laurel Pl Ste 102 Laurel MD 20707-6102 |
| Mailing Address |
6925 Maple St Nw Apt 101 Washington DC 20012-2199 |
| Practice Telephone | 3014981604 |
| Mailing Telephone | 2024861631 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305207926 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 King St, Alexandria, VA 223024420 | 5716656560 | |
| 9801 Georgia Ave Ste 201, Silver Spring, MD 209025276 | 3015937300 | |
| 1535 University Blvd E Ste D, Hyattsville, MD 207834694 | 3014341850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345192 | Dominique Marie Wilson | Counselor | 785 Wall St # 200, O Fallon, IL 62269-1959 | 2018-05-08 |
| 1831478023 | Dominique Lashan Wilson | Counselor | 1099 S Broadway, Ste. 260 and 280, Lexington, KY 40504-3030 | 2011-08-05 |
| 1518567874 | Dominique Wilson | Midwife | 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 | 2020-10-27 |
| 1467081109 | Dominique Wilson | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2020-04-04 |
| 1750867511 | Dominique Wilson | Developmental Therapist | 1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932 | 2018-07-16 |
| 1295019909 | Dominique Renee Wilson | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2011-09-30 |
| Street Address |
14405 LAUREL PL STE 102 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974355 | Brian Hoy | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2005-12-27 |
| 1366951055 | Tyler Shorts | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2017-09-25 |
| 1821526252 | Jane Lydia Monis | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2017-05-30 |
| 1063869618 | Aryankah Hosbetkar | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2016-05-24 |
| 1851608236 | Yonas Habte | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839830 | Maria Gracia B Dellera | Physical Therapist | 7603 Cypress St, Laurel, MD 20707-6880 | 2020-04-11 |
| 1710528088 | Tessa Merritt | Physical Therapist | 14190a Baltimore Ave, Laurel, MD 20707-5007 | 2019-10-08 |
| 1861966160 | Mosaddegh Physical Therapy Inc. | Physical Therapist | 14113 Baltimore Ave Ste B, Laurel, MD 20707-5073 | 2019-01-20 |
| 1073007001 | Jessica Russell Silver | Physical Therapist | 14190 Baltimore Ave Ste A, Laurel, MD 20707-5098 | 2018-06-22 |
| 1942714134 | Health/works,llc | Physical Therapist | 14625 Baltimore Ave Ste 824, Laurel, MD 20707-4902 | 2017-11-27 |
| 1164969002 | Vaibhavi Hasit Mehta | Physical Therapist | 6936 Andersons Way, Apt# 202, Laurel, MD 20707-6950 | 2017-01-30 |
| 1225575152 | Brittany Omess | Physical Therapist | 3626 Marcey Creek Rd, Laurel, MD 20724-1915 | 2017-01-30 |
| 1376087007 | Clint Woo | Physical Therapist | 9837 Wilderness Ln, Laurel, MD 20723-5504 | 2016-12-15 |
| 1043603475 | United Physical Therapy Associates | Physical Therapist | 7634 N Arbory Way, Laurel, MD 20707-5540 | 2015-03-10 |
| 1225439193 | Lailani Ponce | Physical Therapist | 8369 Cherry Ln, Laurel, MD 20707-4831 | 2014-09-10 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.