TARA RENEE DOMINGUEZ (NPI# 1346497534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346497534 |
| Entity Type | Individual |
| Full Name | TARA RENEE DOMINGUEZ |
| Credential | PT |
| Practice Address |
10400 W 103rd St Ste 22 Overland Park KS 66214-2664 |
| Mailing Address |
10400 W 103rd St Ste 22 Overland Park KS 66214-2664 |
| Practice Telephone | 9133224000 |
| Mailing Telephone | 9133224000 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2008024821 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1105159 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13157 State Line Rd, Suite201, Kansas City, MO 641451650 | 8169412550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527294 | Tara Ann Dominguez | Pharmacist | 3116 Nw 21st St, Oklahoma City, OK 73107-3010 | 2020-01-24 |
| Street Address |
10400 W 103RD ST STE 22 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66214-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723762 | Olivia Smith | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2020-09-01 |
| 1548887813 | Cheri Crowley | Physical Therapy Assistant | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2020-07-02 |
| 1225687346 | Bailee Marie Fuller | Physical Therapy Assistant | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2019-09-11 |
| 1588192777 | Kendra Becker | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2017-06-01 |
| 1972953784 | Jenna Stones | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2016-06-13 |
| 1730598574 | Lindsey Phelps | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053971325 | Slpt, LLC | Physical Therapist | 11040 Oakmont Street, Attn: Espt, Overland Park, KS 66210-1100 | 2019-06-18 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| 1134355340 | Daniel Edward Laughlin | Physical Therapist | 6501 W 101st Ter, 9506 Nall Avenue, Overland Park, KS 66212-1715 | 2009-06-02 |
| 1366517781 | Judith Ann Hensley | Physical Therapist | 4573 Indian Creek Parkway, Overland Park, KS 66207-4004 | 2006-11-21 |
| 1821601931 | Katelyn Gibbons | Physical Therapist | 10600 Mastin St, Overland Park, KS 66212-5723 | 2020-08-28 |
| 1437709615 | Lscm, LLC | Physical Therapist | 10600 Mastin St, Entrance B Attn: Shelley Lewis, Overland Park, KS 66212-5723 | 2019-09-19 |
| 1710468871 | Alison Parks | Physical Therapist | 11301 W 88th St Ste 100, Overland Park, KS 66214-1703 | 2018-08-27 |
| 1366972937 | Trent Allen Nichol | Physical Therapist | 5267 W 95th St, Overland Park, KS 66207-3201 | 2017-06-15 |
| 1588192777 | Kendra Becker | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2017-06-01 |
| 1326472705 | Kinesphere Physical Therapy LLC | Physical Therapist | 10880 Benson Dr Ste 2370, Overland Park, KS 66210 | 2013-08-21 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66214 |
Please comment or provide details below to improve the information on TARA RENEE DOMINGUEZ.
| 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.