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

Olivia Dominguez, DPT

Individual provider Physical Therapist · NPI 1629953716

Olivia Dominguez, DPT is a Physical Therapist in Private Practice in Seattle, Washington. Qualified in 2025, 1 year ago. Practices with Lake Washington Physical Therapy LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025
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

1309 Harbor Ave SW Ste A
Seattle, WA 98116-1784
Phone: (206) 906-9207
Fax: (206) 906-9369
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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 PT61675782 (WA)

Record details

NPI number1629953716
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address209 Kirkland Ave, Kirkland, WA 98033-6503

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lake Washington Physical Therapy Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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