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

Dr. Dominique E Wynn, DPT

Individual provider Physical Therapist · NPI 1063608594

Dr. Dominique E Wynn, DPT is a Physical Therapist in Private Practice in Long Branch, New Jersey. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

375 Macarthur Ave # 2
Long Branch, NJ 07740-7649
Phone: (415) 846-0395
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25685 (CA)

Record details

NPI number1063608594
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 19, 2007
Last updated in NPPESOctober 14, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Long Branch