ERIC NEAL DOMGAARD OTD
NPI 1609507672
Occupational Therapist - Pediatrics in St George, UT

Active since June 21, 2022
121 W TABERNACLE ST, ST GEORGE, UT 84770(435) 673-3553 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric Neal Domgaard Otd NPPES

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

ERIC NEAL DOMGAARD OTD (NPI 1609507672) is an individual pediatrics provider in St George, Utah, licensed in Utah (10264255-4201) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1609507672
Entity TypeIndividualMale
Primary Taxonomy225XP0200X
Provider Legal NameERIC NEAL DOMGAARDCredential: OTD
Location Address121 W TABERNACLE STSt George, UT 84770-3338
Mailing Address3705 E Church Rocks DrSt George, UT 84790-5001 · (435) 590-4969
Sole ProprietorYes
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1609507672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License✔ Licensed in UT · 10264255-4201
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
121 W TABERNACLE ST, St George, UT 84770

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Neal Domgaard Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Rehabilitation
324 E 10TH AVE STE 100
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 493 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.

Other Providers at the Same Location NPPES 15

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

Occupational Therapist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Speech-Language Pathologist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Speech-Language Pathologist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Local Education Agency (LEA)
121 W TABERNACLE ST
ST GEORGE, UT 84770
Speech-Language Pathologist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Speech-Language Pathologist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Speech-Language Pathologist
121 W TABERNACLE ST
ST GEORGE, UT 84770
Local Education Agency (LEA)
121 W TABERNACLE ST
ST GEORGE, UT 84770

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 Eric Domgaard's NPI number?

The NPI number for Eric Domgaard is 1609507672. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Eric Domgaard located?

Eric Domgaard practices at 121 W Tabernacle St, St George, UT 84770. The listed phone number is (435) 673-3553.

What is Eric Domgaard's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Eric Domgaard enrolled in Medicare?

Yes. Eric Domgaard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Domgaard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Domgaard reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). 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 Eric Domgaard'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 Eric Domgaard was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.