Domenic F. Sulfaro Jr., PT, DPT, LATC
NPI 1336250356ActiveIndividual· Specialist/Technologist, Athletic Trainer· South Weymouth, MA
Specialist/Technologist, Athletic Trainer (PT, DPT, LATC) with Proex Physical Therapy LLC, practicing in South Weymouth, Massachusetts. Medicare paid $139,552 for services to 117 patients in 2024.
Overview
| NPI | 1336250356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LATC |
| Sole proprietor | No |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Sep 26, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 624 | MA |
| Physical Therapist | 225100000X | 16543 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 7,521 across 6 procedure codes |
| Paid by Medicare | $139,552 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Proex Physical Therapy LLCWinchester, MA · 165 clinicians
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