Timothy Robert Dominick, D.P.T.
NPI 1356342661ActiveIndividual· Physical Therapist· Sherwood, OR
Physical Therapist (D.P.T.) with Northwest Extremity Specialists LLC, practicing in Sherwood, Oregon. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1356342661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Aug 6, 2024 |
| Certified by provider | Aug 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5149 | OR |
| Physical Therapist | 225100000X | 26238 | CA |
| Physical Therapist, Orthopedic | 2251X0800X | 5149 | OR |
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 (OR) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Northwest Extremity Specialists LLCPortland, OR · 21 clinicians
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