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

Dominick Macksoud

Individual provider Physical Therapist · NPI 1396230918

Dominick Macksoud is a Physical Therapist in San Mateo, California. Licensed in California, Michigan and Washington. Registered with an NPI since 2018.

Licensed in
CA, MI, WA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

222 W 39th Ave
San Mateo, CA 94403-4364
Phone: (650) 573-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 305298 (CA)
Physical Therapist Taxonomy 225100000X · Licence 61217784 (WA)
Physical Therapist Taxonomy 225100000X · Licence 5501020247 (MI)

Record details

NPI number1396230918
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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