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

Individual provider Occupational Therapist · NPI 1902575996

Dominique Marie Dierking, MOT is an Occupational Therapist in Private Practice in Somerset, New Jersey. Qualified in 2021, 5 years ago. Practices with Performance Medical Group of Somerset, a 22-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone: (732) 860-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1902575996
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Performance Medical Group Of Somerset — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Somerset