Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGG EDWARD DEDOMENICO, PT, DPT, MS, ATC
ActiveGREGG EDWARD DEDOMENICO, PT, DPT, MS, ATC is a Physical Therapy Assistant healthcare provider located in SMYRNA, Delaware. NPI 1205412483 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SMYRNA, DE
Registration Details
- NPI Number
- 1205412483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2021 (5.4057866068347 yrs)
- Last Updated
- Mar 19, 2021
- License
-
J1-0014325 (DE)
Practice Information
- Address
-
208 N DUPONT BLVDSMYRNA, DE, 199771511Browse DE providers · Browse ZIP 19977
- Phone
- 3025398389
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SMYRNA, DE
| Name | Credential | NPI |
|---|---|---|
| KAREN M MAYEW | MPT | 1790741684 |
| KEVIN SCHULTZ | PT | 1558392076 |
| MS. TEKIA NICHELLE LEE | MPT | 1154355733 |
| CRAIG ANDREW BRILL | PT | 1003914235 |
| SHAWN R SCHLEGEL | PT | 1922192541 |
| IAN MICHAEL LEAHY | DPT | 1932355328 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.