Dominic Prospero
NPI 1851898076ActiveIndividual· Occupational Therapist· South Bend, IN
Occupational Therapist with Central Indiana Orthopedics LLC and 1 other group, practicing in South Bend, Indiana. Medicare paid $1,827 for services to 21 patients in 2024.
Overview
| NPI | 1851898076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 13, 2018 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 31007611A | IN |
| Occupational Therapist | 225X00000X | 056-012465 | IL |
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 - Occupational Therapist in Private Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 77 across 6 procedure codes |
| Paid by Medicare | $1,827 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical groups
- Central Indiana Orthopedics LLCAnderson, IN · 148 clinicians
- Orthopedic and Sports Medicine Center of Northern Indiana IncElkhart, IN · 47 clinicians
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All 55 occupational therapists in South Bend · All occupational therapists in Indiana