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

Timothy Robert Dominick, DPT

Individual provider Physical Therapist · NPI 1356342661

Timothy Robert Dominick, DPT is a Physical Therapist in Private Practice in Sherwood, Oregon. Qualified in 2001, 25 years ago. Practices with Northwest Extremity Specialists LLC, a 21-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
25
Licensed in
CA, OR
In the registry since
2005
Specialties on file
3
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

16770 SW Edy Rd Ste 310
Sherwood, OR 97140-9679
Phone: (503) 216-9731
Fax: (503) 216-9732
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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 5149 (OR)
Physical Therapist Taxonomy 225100000X · Licence 26238 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 5149 (OR)

Record details

NPI number1356342661
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 9, 2005
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address16310 Sw Palermo Ln, Tigard, OR 97223-0692

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northwest Extremity Specialists Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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