ERIC NEAL DOMGAARD OTD
NPI 1609507672
Occupational Therapist - Pediatrics in St George, UT
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
Specialties & Licenses
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.
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.
ST GEORGE, UT 84770
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.