TIMOTHY ROBERT DOMINICK (NPI# 1356342661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356342661 |
Entity Type | Individual |
Full Name | TIMOTHY ROBERT DOMINICK |
Credential | D.P.T., O.C.S. |
Practice Address |
7616 Sw Mohawk St Tualatin OR 97062-8121 |
Practice Telephone | 5033791525 |
Practice Fax Number | 5035757150 |
Mailing Telephone | 5033791525 |
Mailing Fax Number | 5035757150 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2016-10-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 26238 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5149 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FIRST HEALTH | 5628499 | 01 |
CA | BLUE SHIELD | ZZZ01897Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043283013 | Timothy S Dominick | Anesthesiology | 111 Colchester Ave, Wp2, 122wp2, Burlington, VT 05401-1473 | 2006-02-09 |
Street Address |
7616 SW MOHAWK ST |
City | TUALATIN |
State | OR |
Zip Code | 97062-8121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417334434 | Baarspul Physical Therapy and Sports Medicine, LLC | Clinic/Center | 7616 Sw Mohawk St, Tualatin, OR 97062-8121 | 2015-04-28 |
1548656143 | Nw Physical Therapy Specialists | Physical Therapist | 7616 Sw Mohawk St, Tualatin, OR 97062-8121 | 2015-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
Find all providers in zip 97062 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922332907 | Lorelei Hosmillo | Physical Therapist | 19260 Sw 65th Ave, Ste 285, Tualatin, OR 97062-5701 | 2009-09-24 |
1760547426 | Susan Aslani | Physical Therapist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
Find all providers with the same taxonomy |
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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.