Thomas Alan Domino
Physical Therapist - Sports
1101 Ohio Dr Ste 110
Plano
, Texas 75093-5331
Thomas Alan Domino
Physical Therapist - Sports
1101 Ohio Dr Ste 110
Plano
, Texas 75093-5331
(214) 387-0552
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Thomas Alan Domino
- 3531 Delford Dr
- Frisco, TX
- Zip : 75034-1290
- Phone : (214) 387-0552
Second Address
- Thomas Alan Domino
- 1101 Ohio Dr Ste 110
- Plano, TX
- Zip : 75093-5331
- Phone : (972) 985-2622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 1108686 | TX |
National Provider Identifier
| NPI | 1013019041 |
|---|---|
| Provider Name | Thomas Alan Domino |
| First Address | Frisco, TX 75034-1290 |
| Second Address | Plano, TX 75093-5331 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8T1156 | BCBS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.