Timothy Robert Dominick, DPT in Sherwood, OR - Medicare Physical Therapist In Private Practice Provider

Timothy Robert Dominick, DPT is a medicare enrolled "Physical Therapist" provider in Sherwood, Oregon. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Northwest Extremity Specialists Llc and his current practice location is 16770 Sw Edy Rd Ste 310, Sherwood, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-9731.

Timothy Robert Dominick is licensed to practice in Oregon (license number 5149) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356342661.

Contact Information

	Timothy Robert Dominick, DPT
	16770 Sw Edy Rd Ste 310, Sherwood, OR 97140-9679
	(503) 216-9731
	(503) 216-9732

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Robert Dominick
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	24 Years
Location	16770 Sw Edy Rd Ste 310, Sherwood, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy Robert Dominick graduated from medical school in 2001

NPI Data:

NPI Number: 1356342661
Provider Enumeration Date: 08/09/2005
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4082663430
Enrollment ID: I20140313002076

Medical Identifiers

Medical identifiers for Timothy Robert Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356342661	NPI	-	NPPES
5628499	Other	CA	FIRST HEALTH
ZZZ01897Z	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	26238 (California)	Secondary
2251X0800X	Physical Therapist - Orthopedic	5149 (Oregon)	Secondary
225100000X	Physical Therapist	5149 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Extremity Specialists Llc	3577881747	22

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy Robert Dominick allows following entities to bill medicare on his behalf.

Provider Name	Northwest Extremity Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295126241 PECOS PAC ID: 3577881747 Enrollment ID: O20150420000860

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. Timothy Robert Dominick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Timothy Robert Dominick, DPT 16310 Sw Palermo Ln, Tigard, OR 97223-0692 Ph: (503) 577-0942	Timothy Robert Dominick, DPT 16770 Sw Edy Rd Ste 310, Sherwood, OR 97140-9679 Ph: (503) 216-9731

Reviews and Comments

Physical Therapist in Sherwood, OR

Jason Stanley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20055 Sw Pacific Hwy Ste 110, Sherwood, OR 97140 Phone: 503-625-1691
Julianne Marie Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23065 Sw Main St, Sherwood, OR 97140 Phone: 503-925-1802
Amy Leigh Ouellette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21178 Sw Ladyfern Dr, Sherwood, OR 97140 Phone: 541-399-6961 Fax: 503-405-7448
Pivotal Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15899 Sw Baler Way, Sherwood, OR 97140 Phone: 503-625-2217 Fax: 503-925-1469
Christina Rendel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15970 Sw Tualatin Sherwood Rd, Sherwood, OR 97140 Phone: 971-206-3400
Brian Rios, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600
Victoria Bryson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20055 Sw Pacific Hwy, Suite 110, Sherwood, OR 97140 Phone: 503-625-1691 Fax: 503-925-1460

Timothy Robert Dominick, DPT - Medicare Physical Therapist in Sherwood, OR