ANGELA MARIE DOMENICO PT, DPT
NPI 1467065854
Physical Therapist in Atlanta, GA

Active since August 26, 2020Accepts Medicare Assignment
285 BOULEVARD NE STE 310, ATLANTA, GA 30312(404) 581-9401(404) 581-9403 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Marie Domenico Pt, Dpt NPPES

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

ANGELA MARIE DOMENICO PT, DPT (NPI 1467065854) is an individual physical therapist in Atlanta, Georgia, licensed in Georgia (PT014815) and active in the NPI registry since August 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1467065854
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameANGELA MARIE DOMENICOCredential: PT, DPT
Location Address285 BOULEVARD NE STE 310Atlanta, GA 30312-4209
Mailing Address1200 Corporate Dr Ste 400Birmingham, AL 35242-5424 · (423) 238-7217 · Fax (423) 238-3473
Fax(404) 581-9403
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1467065854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT014815
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
285 BOULEVARD NE STE 310, Atlanta, GA 30312

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

Angela Marie Domenico Pt, Dpt 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 ID9133547888
PECOS Enrollment IDI20220817001378

Medicare Billing Reassignments

3

Medicare enrollment records show Angela Domenico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
925 GARRETT ST SE STE J
Atlanta, GA 30316
  • Reassigned Medicare billing, Georgia enrollment
  • 788 clinicians in this Medicare group
Physical Therapy
2097 N DECATUR RD
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 1,061 clinicians in this Medicare group
Physical Therapist
586 SHEPARD ST
Rhinelander, WI 54501
  • Reassigned Medicare billing, Wisconsin enrollment
  • 42 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 4

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
104 services18 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
94 services20 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
91 services23 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
81 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
285 BOULEVARD NE STE 310
ATLANTA, GA 30312
Physical Therapist
285 BOULEVARD NE STE 310
ATLANTA, GA 30312
Physical Therapist
285 BOULEVARD NE STE 310
ATLANTA, GA 30312
Specialist
285 BOULEVARD NE STE 310
ATLANTA, GA 30312

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 Angela Domenico's NPI number?

The NPI number for Angela Domenico is 1467065854. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Angela Domenico located?

Angela Domenico practices at 285 Boulevard NE Ste 310, Atlanta, GA 30312. The listed phone number is (404) 581-9401.

What is Angela Domenico's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Angela Domenico enrolled in Medicare?

Yes. Angela Domenico 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 Angela Domenico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Domenico reassigns Medicare benefits to 3 organizations: Benchmark Physical Therapy, Inc (Atlanta, GA), Independent Physical Therapy Of Georgia, LLC (Decatur, GA) and Health In Motion, LLC (Rhinelander, WI). 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 Angela Domenico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Domenico accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Angela Domenico 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 Angela Domenico was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.