Ivan Dominguez, SPT ATC LAT - Physical Therapist in Fort Sam Houston, TX

Ivan Dominguez, SPT ATC LAT is a Physical Therapist based in Fort Sam Houston, Texas. Ivan Dominguez is licensed to practice in Texas (license number 1335011) and his current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at (210) 916-5658.

NPI number for Ivan Dominguez is 1083065130 and his current mailing address is 3698 Chambers Pass Bldg 3611, San Antonio, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083065130.

Contact Information

Ivan Dominguez, SPT ATC LAT
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
(210) 916-5658
(210) 271-0830



Healthcare Provider's Profile

Full NameIvan Dominguez
GenderMale
SpecialityPhysical Therapist
Location3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083065130
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 11/02/2023

Medical Identifiers

Medical identifiers for Ivan Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083065130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1335011 (Texas)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. Ivan Dominguez 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
Ivan Dominguez, SPT ATC LAT
3698 Chambers Pass Bldg 3611,
San Antonio, TX 78234-7766

Ph: (210) 916-5658
Ivan Dominguez, SPT ATC LAT
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504

Ph: (210) 916-5658

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› Verified 1 days ago


Physical Therapist in Fort Sam Houston, TX

Conrad Gregory Hawkins,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3851 Roger Brooke Dr, Mche-qd (crendentials), Fort Sam Houston, TX 78234
Phone: 210-916-2460    Fax: 210-916-5102
Matthew Luke Larson, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-295-4018    
Anita Margot Dietz, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-808-2226    Fax: 210-808-2225
Dr. Jamie Nicole Velez, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-808-2274    
Dr. William Roger Allen Iii, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    
Lindsey Umlauf, DPT, OCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 832-372-0706    

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