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

Individual provider Physical Therapist · NPI 1588170948

Lauren V Di Domenico, DPT is a Physical Therapist in Private Practice in Media, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Move Well LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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

5201 Pennell Rd
Media, PA 19063-6502
Phone: (610) 874-9710
Fax: (610) 874-9723
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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 PT026506 (PA)

Record details

NPI number1588170948
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESApril 13, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Move Well Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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