Dominique Wilson, DPT, CLT, CMTPT-DN
NPI 1225502065ActiveIndividual· Physical Therapist· Washington, DC
Physical Therapist (DPT, CLT, CMTPT-DN) in Washington, District of Columbia, trained at Marymount University (class of 2012). Medicare paid $39,456 for services to 101 patients in 2024.
Overview
| NPI | 1225502065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, CLT, CMTPT-DN |
| Sole proprietor | No |
| NPI issued | Jan 15, 2019 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 27058 | MD |
| Physical Therapist | 225100000X | 2305207926 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 101 |
|---|---|
| Services billed | 1,675 across 12 procedure codes |
| Paid by Medicare | $39,456 |
Education and affiliations
| Medical school | Marymount University |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ati Holdings, LLCJenkintown, PA · 443 clinicians
- RehabneedsRockville, MD · 10 clinicians
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