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JOSE ANTOLIN DOMINGUEZ PT, OCS
NPI 1053385559
Physical Therapist - Orthopedic in Jacksonville, FL

Active since February 14, 2006Accepts Medicare Assignment
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7375 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jose Antolin Dominguez Pt, Ocs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE ANTOLIN DOMINGUEZ PT, OCS (NPI 1053385559) is an individual orthopedic provider in Jacksonville, Florida, licensed in Maryland (20055) and active in the NPI registry since February 2006. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1053385559
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJOSE ANTOLIN DOMINGUEZCredential: PT, OCS
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7375
Phone(904) 542-7375
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1053385559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MD · 20055
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2080 CHILD ST, Jacksonville, FL 32214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Antolin Dominguez Pt, Ocs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022582287
PECOS Enrollment IDI20260630000549

Medicare Billing Reassignment

Medicare enrollment records show Jose Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Luna Care Physical Therapy LLC
9.4 mi
Physical Therapist
5011 GATE PKWY STE 100
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 422 clinicians in this Medicare group
NPI 1114542032 (866) 525-3175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Dominguez's NPI number?

The NPI number for Jose Dominguez is 1053385559. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Jose Dominguez located?

Jose Dominguez practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7375.

What is Jose Dominguez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jose Dominguez enrolled in Medicare?

Yes. Jose Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jose Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Dominguez reassigns Medicare benefits to Florida Luna Care Physical Therapy LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Dominguez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.