Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenic F. Sulfaro Jr., PT, DPT, LATC

Individual provider Physical Therapist · NPI 1336250356

Domenic F. Sulfaro Jr., PT, DPT, LATC is a Physical Therapist in Private Practice in South Weymouth, Massachusetts. Qualified in 2003, 23 years ago. Practices with Proex Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
23
Licensed in
MA
In the registry since
2006
Specialties on file
2
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

541 Main St Ste 103
South Weymouth, MA 02190-1868
Phone: (781) 331-9600
Fax: (781) 335-1556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 624 (MA)
Physical Therapist Taxonomy 225100000X · Licence 16543 (MA)

Record details

NPI number1336250356
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , LATC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 26, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Proex Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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