Ivan Domenech
NPI 1386972867 · Physical Therapy Assistant · Southern Pines, NC
Ivan Domenech is a Physical Therapy Assistant provider in Southern Pines, NC (NPI 1386972867).
Provider details
- NPI number
- 1386972867
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4278 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2009-11-23
Frequently asked questions
- What is Ivan Domenech's NPI number?
- Ivan Domenech's National Provider Identifier (NPI) is 1386972867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Domenech's specialty?
- Ivan Domenech is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ivan Domenech located?
- Ivan Domenech's practice location on file with NPPES is 103 Gossman Rd, Southern Pines, NC 28387-2225.
- What is Ivan Domenech's phone number?
- The practice phone number listed in the NPPES registry for Ivan Domenech is (910) 246-1158.
- Is Ivan Domenech's NPI active?
- Yes — Ivan Domenech's NPI (1386972867) is active in the NPPES registry as of the last update on 2009-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.