DOMENIC F. SULFARO JR. PT, DPT, LATC
NPI 1336250356
Specialist/Technologist - Athletic Trainer in South Weymouth, MA
About Domenic F. Sulfaro Jr. Pt, Dpt, Latc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMENIC F. SULFARO JR. PT, DPT, LATC (NPI 1336250356) is an individual athletic trainer provider in South Weymouth, Massachusetts, licensed in Massachusetts (624) and active in the NPI registry since August 2006. He is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 8
Accepted Insurance
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
Domenic F. Sulfaro Jr. Pt, Dpt, Latc 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
2Medicare enrollment records show Domenic Sulfaro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Weymouth, MA 02189
- Reassigned Medicare billing, Massachusetts enrollment
- 4 clinicians in this Medicare group
Woburn, MA 01801
- Reassigned Medicare billing, Massachusetts enrollment
- 220 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 6
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SOUTH WEYMOUTH, MA 02190
WEYMOUTH, MA 02190
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 Domenic Sulfaro's NPI number?
The NPI number for Domenic Sulfaro is 1336250356. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Domenic Sulfaro located?
Domenic Sulfaro practices at 541 Main St Suite 103, South Weymouth, MA 02190. The listed phone number is (781) 331-9600.
What is Domenic Sulfaro's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.
Is Domenic Sulfaro enrolled in Medicare?
Yes. Domenic Sulfaro 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 Domenic Sulfaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domenic Sulfaro reassigns Medicare benefits to 2 organizations: South Shore Sports & Muscular (East Weymouth, MA) and Proex Physical Therapy, LLC (Woburn, MA). 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 Domenic Sulfaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Domenic Sulfaro accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Domenic Sulfaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Domenic Sulfaro was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Domenic F. Sulfaro Jr., PT, DPT, LATC · NPI 1336250356
Athletic Trainer provider in South Weymouth, Massachusetts. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1336250356 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Specialist/Technologist - Athletic Trainer · taxonomy 2255A2300X
- **State license:** 624 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 541 MAIN ST, SUITE 103, South Weymouth, MA 02190-1868
- **Phone:** (781) 331-9600 · **Fax:** (781) 335-1556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Shore Sports & Muscular (NPI 1104822576, East Weymouth, MA); Proex Physical Therapy, LLC (NPI 1831190453, Woburn, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 26, 2007
- **Other identifiers:** Other 626330 (MA); Medicare ID-Type Unspecified Y69320 (MA); Other Y68210 (MA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336250356) · Data from the CMS NPPES public registry.