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

Dominique Jordan Rivera Williams, DPT

Individual provider Physical Therapist · NPI 1104643030

Dominique Jordan Rivera Williams, DPT is a Physical Therapist in Private Practice in Boynton Beach, Florida. Qualified in 2023, 3 years ago. Practices with Gold Coast Physical Therapy Associates LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1903 S Congress Ave Ste 100
Boynton Beach, FL 33426-6553
Phone: (561) 432-0111
Fax: (561) 432-1075
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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 PT42299 (FL)

Record details

NPI number1104643030
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Gold Coast Physical Therapy Associates Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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