Theresa Mae Dominick, OTR - Occupational Therapist in Leavenworth, KS

Theresa Mae Dominick, OTR is a Occupational Therapist based in Leavenworth, Kansas. Theresa Mae Dominick is licensed to practice in Kansas (license number 17-02236) and her current practice location is 1001 6th Ave, Suite 240, Leavenworth, Kansas. She can be reached at her office (for appointments etc.) via phone at (913) 682-6103.

NPI number for Theresa Mae Dominick is 1841635109 and her current mailing address is 710 Deerfield St, Leavenworth, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841635109.

Contact Information

Theresa Mae Dominick, OTR
1001 6th Ave, Suite 240,
Leavenworth, KS 66048-3222
(913) 682-6103
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTheresa Mae Dominick
GenderFemale
SpecialityOccupational Therapist
Location1001 6th Ave, Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841635109
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 04/30/2013

Medical Identifiers

Medical identifiers for Theresa Mae Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841635109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 17-02236 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Mae Dominick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Mae Dominick, OTR
710 Deerfield St,
Leavenworth, KS 66048-5541

Ph: (913) 775-3101
Theresa Mae Dominick, OTR
1001 6th Ave, Suite 240,
Leavenworth, KS 66048-3222

Ph: (913) 682-6103

Reviews and Comments


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Dixie Lea Anaya, OTL
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Amy Mccarty, MSOTR/L
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Medicare: Not Enrolled in Medicare
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Phone: 913-758-1149    Fax: 913-758-1149
Lauren M Docman, OTR/L
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Medicare: Not Enrolled in Medicare
Practice Location: 200 N 4th St, Leavenworth, KS 66048
Phone: 913-684-1400    

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