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

Mr. Dominick Petronico, DPT

Individual provider Physical Therapist · NPI 1679351076

Mr. Dominick Petronico, DPT is a Physical Therapist in Private Practice in Toms River, New Jersey. Qualified in 2023, 3 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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

216 Main St
Toms River, NJ 08753-7438
Phone: (732) 366-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 144 Route 34, Matawan, NJ 07747-2132 — (732) 320-6285

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 402A02210700 (NJ)

Record details

NPI number1679351076
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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 Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Toms River