LISA DOMINICK (NPI# 1851517395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851517395 |
| Entity Type | Individual |
| Full Name | LISA DOMINICK |
| Credential | OTR,CHT |
| Practice Address |
3001 Edwards Mill Rd # 200 Raleigh NC 27612-5243 |
| Mailing Address |
503 Grasslands Rd Valhalla NY 10595-1503 |
| Practice Telephone | 9198636872 |
| Practice Fax Number | 9197815246 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3001 EDWARDS MILL RD # 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265418123 | Laura A. Beaver | Occupational Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2005-12-21 |
| 1316554355 | Zachary Small | Physical Therapy Assistant | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2020-09-24 |
| 1447804455 | Nicole Acree | Physical Therapy Assistant | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2019-07-29 |
| 1386122885 | Gracy Sheely | Physical Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612 | 2018-08-06 |
| 1265884886 | Tawnee Cain | Occupational Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2016-07-07 |
| 1235596727 | Peggy Molyneux | Physician Assistant | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2016-01-28 |
| 1164801429 | Jeremy Bales | Physical Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612 | 2015-05-20 |
| 1972924645 | Amy Poole | Physical Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2013-12-26 |
| 1588098222 | Ashley Anne Schaus | Physical Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612-5243 | 2013-08-29 |
| 1508135427 | Brianna M Eby | Physical Therapist | 3001 Edwards Mill Rd # 200, Raleigh, NC 27612 | 2011-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497244 | Rebecca Irene Walls | Occupational Therapist | 4009 Wake Forest Rd, Raleigh, NC 27609-6842 | 2006-02-22 |
| 1891172268 | Summer Reavis | Occupational Therapist | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2015-05-05 |
| 1083012926 | Gretchen Ruth Correll | Occupational Therapist | 3100 Duraleigh Rd, Suite, Raleigh, NC 27612-8106 | 2014-12-09 |
| 1013156009 | Casey Johnson | Occupational Therapist | 3404 Wake Forest Rd, Suite 303, Raleigh, NC 27609-7340 | 2009-02-13 |
| 1356386205 | Jennifer Anne Pennington | Occupational Therapist | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 | 2006-06-17 |
| 1366405441 | Kim Renuart Townsend | Occupational Therapist | 3404 Wake Forest Rd, Suite 303, Raleigh, NC 27609-7341 | 2006-04-10 |
| 1346203908 | Jo Cullingford | Occupational Therapist | 3701 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6832 | 2006-04-06 |
| 1770545923 | Kristen Ellen Thomas | Occupational Therapist | 3100 Duraleigh Rd, Suite 100, Raleigh, NC 27612-8106 | 2006-04-04 |
| 1427059807 | Luan C Hobson | Occupational Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518463967 | Jessie Poteat | Occupational Therapist | 40 Medicine Circle Drive Clinic 3j, Durham, NC 27710-0001 | 2018-04-04 |
| 1497987655 | Jessi Calafiore | Occupational Therapist | 7164 Georgia Rd, Franklin, NC 28734-9142 | 2009-08-20 |
| 1376677005 | April Marie Hedrick | Occupational Therapist | 847 Wake for Bus Park, Ste. 202, Wake Forest, NC 27587-6575 | 2007-03-15 |
| 1457414823 | Tremayne T Thurman | Occupational Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2006-12-18 |
| 1225102031 | Carolina Occupational Therapy of Greenville Inc | Occupational Therapist | 1038 W H Smith Blvd, Unit 101, Greenville, NC 27834-5051 | 2006-11-20 |
| 1457452286 | Sandra Kay Lonon | Occupational Therapist | 112 Raintree Dr, Morganton, NC 28655-9293 | 2006-09-26 |
| 1891748778 | James G Dischiavi | Occupational Therapist | 348 Grace Corpening Dr, Marion, NC 28752 | 2006-05-19 |
| 1952366403 | Kathryn Love Ormsby | Occupational Therapist | 2527 Delaney Ave, Ste C, Wilmington, NC 28403 | 2006-04-19 |
| 1831179332 | Lynda Sue Wagner | Occupational Therapist | 207 Balsam Rd, Jacksonville, NC 28546-8574 | 2006-01-19 |
| 1114903564 | Mary M. Walsh | Occupational Therapist | 1991 Fordham Dr Ste 102, Fayetteville, NC 28304-3774 | 2005-12-19 |
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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.