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

Mrs. Deanna Domnisch

Individual provider Physical Therapist · NPI 1396174017

Mrs. Deanna Domnisch is a Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2013, 13 years ago. Practices with Potentia Therapeutics, LLC, an 18-clinician group and works from 2 locations. Licensed in District of Columbia, Florida and Virginia.

Years since qualifying
13
Licensed in
DC, FL, VA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

2307 S Dale Mabry Hwy Ste F
Tampa, FL 33629-6322
Phone: (813) 374-9508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 470 Lenfant Plz Sw Ste 602, Washington, DC 20024-2124 — (202) 863-0430

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT38897 (FL)
Physical Therapist Taxonomy 225100000X · Licence 2305208347 (VA)
Physical Therapist Taxonomy 225100000X · Licence PT871510 (DC)

Record details

NPI number1396174017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2013
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Potentia Therapeutics, Llc — 18 clinicians
Accepts Medicare assignment Not indicated

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