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

Gregg Edward Dedomenico, PT, DPT, MS, ATC

Individual provider Physical Therapist · NPI 1205412483

Gregg Edward Dedomenico, PT, DPT, MS, ATC is a Physical Therapist in Private Practice in Smyrna, Delaware. Qualified in 2020, 6 years ago. Practices with Edelman Spine and Orthopaedic Physical Therapy, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
6
Licensed in
DE
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

208 N Dupont Blvd
Smyrna, DE 19977-1511
Phone: (302) 539-8389
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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 J1-0014325 (DE)

Record details

NPI number1205412483
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MS , ATC
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 19, 2021
Certification dateFebruary 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Edelman Spine And Orthopaedic Physical Therapy, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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