MS. DOMINIQUE RENEE DUSHUTTLE (NPI# 1538260302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538260302 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE RENEE DUSHUTTLE |
| Other Name | MRS. DOMINIQUE RENEE KIMBALL |
| Credential | MSPT |
| Practice Address |
118 Atlantic Ave Suite 302 Oceanview DE 19970 |
| Practice Telephone | 3025377762 |
| Practice Fax Number | 3025377488 |
| Mailing Telephone | 3025377762 |
| Mailing Fax Number | 3025377488 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
J1-0001629 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
19956 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DELAWARE PHYSICIANS CARE | 1000037946 | 01 |
| MD | MAMSI/UNITED HEALTHCARE | 386902 | 01 |
| MD | US DEPARTMENT OF LABOR | 608308600 | 01 |
| MD | BLUE CHOICE | J5640001 | 01 |
| MD | CAREFIRST GROUP # | 754AAT | 01 |
| MD | CAREFIRST | 61106203 | 01 |
| MD | RAIL ROAD MEDICARE | P00200219 | 01 |
| MD | TAX ID # | 900070997 | 01 |
| MD | RAIL ROAD GROUP # | DC4689 | 01 |
| Street Address |
118 ATLANTIC AVE SUITE 302 |
| City | OCEANVIEW |
| State | DE |
| Zip Code | 19970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922535616 | La Red Health Center, Inc | Clinic/Center | 30637 Cedar Neck Road, Ocean View, DE 19970 | 2017-05-12 |
| 1528504677 | Diana Gertrud Heath | Counselor | 31312 Pine Place, Ocean View, DE 19970 | 2017-01-12 |
| 1205271962 | Cindy A Fajardo | Physical Therapist | 29 N Atlantic Avenue, Ocean View, DE 19970 | 2013-05-07 |
| 1205851409 | Daryl James Barthelmess | Physical Therapist | 29 N Atlantic Ave, Ocean View, DE 19970 | 2006-07-12 |
| 1942839360 | Nicholas Bollinger | Speech-Language Pathologist | 30072 Jump Ln, Ocean View, DE 19970-2786 | 2020-04-07 |
| 1154773018 | Amy Griffin | Registered Nurse | 29 Brighton St, Ocean View, DE 19970-3223 | 2016-07-04 |
| 1558750786 | Leah Smith | Registered Nurse | 37125 Lord Baltimore Ln, Ocean View, DE 19970-3242 | 2015-01-12 |
| 1700274958 | Amy Linzey | Registered Nurse | 38241 Yacht Basin Rd Unit 9, Ocean View, DE 19970-3366 | 2014-12-22 |
| 1164081485 | Larry Matthew Hutchins | Counselor | 36582 Dover St, Ocean View, DE 19970-3435 | 2019-06-11 |
| 1710269311 | Thomas John Bonk | Pharmacist | 34960 Atlantic Ave Unit 2, Clarksville, DE 19970-3524 | 2011-09-09 |
| Find all providers in zip 19970 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891856 | Amy Kuratnick | Physical Therapist | 3411 Silverside Rd Ste 105, Wilmington, DE 19810-4806 | 2020-01-27 |
| 1063787737 | Elite Pt LLC | Physical Therapist | 100 Fitness Way, Hockessin, DE 19707-2423 | 2012-03-14 |
| 1568666758 | Florek and Associates Physical Therapy, LLC | Physical Therapist | 25478 Jamie Ct, Seaford, DE 19973-8310 | 2007-06-12 |
| 1831261700 | Edelman Spine & Orthopaedic Physical Therapy, LLC | Physical Therapist | 97 Commerce Way, Suite 101, Dover, DE 19904-8228 | 2006-11-15 |
| 1821199324 | Dwayne Joseph Platzke | Physical Therapist | 22830 & 22832 Sussex Highway, Suites 13 & 14, Seaford, DE 19973-5862 | 2006-09-26 |
| 1215982418 | William Holland | Physical Therapist | 2717 Pulaski Hwy, Newark, DE 19702-3960 | 2006-05-24 |
| 1437138625 | George T Edelman | Physical Therapist | 99 Wolf Creek Blvd, Suite 2, Dover, DE 19901-4968 | 2006-01-16 |
| 1518948355 | Todd Stuart Cumming | Physical Therapist | 124 Sleepy Hollow Dr, Suite 101, Middletown, DE 19709-5838 | 2005-11-09 |
| 1215569280 | Kirstin Anne Lockwood | Physical Therapist | 1 Grenoble Pl, Rehoboth Beach, DE 19971-2847 | 2020-02-07 |
| 1457918856 | James Benjamin Johnson | Physical Therapist | 701 Savannah Rd, Lewes, DE 19958-1550 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.