Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Marie Domenico, PT, DPT

Individual provider Physical Therapist · NPI 1467065854

Angela Marie Domenico, PT, DPT is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2020, 6 years ago. Practices with Health in Motion, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

285 Blvd NE Ste 310
Atlanta, GA 30312-4209
Phone: (404) 581-9401
Fax: (404) 581-9403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT014815 (GA)

Record details

NPI number1467065854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Health In Motion, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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