Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dominic Prospero

Individual provider Occupational Therapist · NPI 1851898076

Dominic Prospero is registered under Occupational Therapist in Private Practice in South Bend, Indiana. Qualified in 2017, 9 years ago. Practices with Orthopedic and Sports Medicine Center of Northern Indiana Inc, a 48-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
9
Licensed in
IL, IN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5230 Beck Dr Ste 7, Elkhart, IN 46516-9059 — (584) 247-9441
  • 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 — (574) 247-9441

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31007611A (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 056-012465 (IL)

Record details

NPI number1851898076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients21
Services billed 77 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Orthopedic and Sports Medicine Center of Northern Indiana Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 48 clinicians in the practice; 12 are shown here.

Other providers in South Bend