DR. DOMINIQUE WILSON DPT, CLT, CMTPT-DN
NPI 1225502065
Physical Therapist in Washington, DC
About Dr. Dominique Wilson Dpt, Clt, Cmtpt-dn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMINIQUE WILSON DPT, CLT, CMTPT-DN (NPI 1225502065) is an individual physical therapist in Washington, District Of Columbia, licensed in Maryland (27058) and active in the NPI registry since January 2019. She maintains 5 additional practice locations and is a graduate of Marymount University (2012).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 5
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
Dr. Dominique Wilson Dpt, Clt, Cmtpt-dn 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.
Medicare Billing Reassignments
5Medicare enrollment records show Dominique Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, District of Columbia enrollment
- 148 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 16 clinicians in this Medicare group
Bowie, MD 20716
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Made To Move LLC
- 18 clinicians in this Medicare group
Rising Sun, MD 21911
- Reassigned Medicare billing, District of Columbia enrollment
- 276 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dominique Wilson's NPI number?
The NPI number for Dominique Wilson is 1225502065. It was assigned to this individual provider in the NPPES registry on January 15, 2019.
Where is Dominique Wilson located?
Dominique Wilson practices at 6323 Georgia Ave NW # 56167, Washington, DC 20011. The listed phone number is (202) 486-1631.
What is Dominique Wilson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Dominique Wilson enrolled in Medicare?
Yes. Dominique Wilson 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 organizations bill Medicare for Dominique Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Wilson reassigns Medicare benefits to 5 organizations: Privia Medical Group, LLC (Arlington, VA), Lhmg Physical Therapy, LLC (Lanham, MD), Rehabneeds (Rockville, MD), Made To Move LLC Dba Forever Fit Physical Therapy & Wellness (Bowie, MD) and Ati Holdings, LLC (Rising Sun, MD). Each 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 Dominique Wilson'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 Dominique Wilson was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Dominique Wilson, DPT, CLT, CMTPT-DN · NPI 1225502065
Physical Therapist provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since January 15, 2019.
## Identity
- **NPI:** 1225502065 (Entity type: Individual)
- **Enumerated:** January 15, 2019
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 27058 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6323 GEORGIA AVE NW # 56167, Washington, DC 20011-1101
- **Phone:** (202) 486-1631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Lhmg Physical Therapy, LLC (NPI 1457985889, Lanham, MD); Rehabneeds (NPI 1891046934, Rockville, MD); Made To Move LLC Dba Forever Fit Physical Therapy & Wellness (NPI 1497154223, Bowie, MD); Ati Holdings, LLC (NPI 1396781050, Rising Sun, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Marymount University, class of 2012
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225502065) · Data from the CMS NPPES public registry.