IndividualActive
Teresa Domack, M.D.
NPI 1235540386 · Family Medicine Physician · Farmington, CT
Provider details
- NPI number
- 1235540386
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 62215 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 South Rd Ste 110
Farmington, CT 06032
Phone: (860) 284-4945
Fax: (860) 284-4946
Street-level locationGet directions
Mailing address
21 South Rd Ste 110
Farmington, CT 06032-2482
Additional practice locations (2)
- 21 South Rd Ste 110Farmington, CT 06032Phone: (860) 284-4945Fax: (860) 284-4946
- 90 S Main StMiddletown, CT 06457-3649Phone: (860) 358-6418
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2019-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.