Home » Delaware » 19970 » Dominique Renee Dushuttle

Dominique Renee Dushuttle (MSPT)

Ms. Dominique Renee Dushuttle (MSPT) is a health care provider specializes in Physical Therapist. She is associated with medical group practice SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION LLC.

profile-icon Basic Information

Practice Location 118 Atlantic Ave Suite 302, Oceanview, DE 19970, US
Practice Location Phone302-537-7762
Practice Location Fax302-537-7488
GenderFemale
Specialty InPhysical Therapist
Medical SchoolOther
Graduation Year2000
NPI ?1538260302
PECOS ID9830169168
Enrollment IDI20050915001014
Entity TypeIndividual
Enumeration Date ? Sep 26, 2006
Last Update Date ? Mar 17, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Dominique Renee Dushuttle

SpecialtySpecializationLicenseLicense State
Physical TherapistOrthopedic J1-0001629Delaware
Physical TherapistOrthopedic 19956Maryland

Medicare-icon Medicare Participation of Dominique Renee Dushuttle

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Dominique Renee Dushuttle

Medical Group PracticeSouthern Delaware Sportscare And Rehabilitation Llc

legacy-id-icon Legacy Provider IDs of Dominique Renee Dushuttle

Provider IdIssuer StateIssuer TypeIssuer
1000037946DelawareOtherDELAWARE PHYSICIANS CARE
DC4689MarylandOtherRAIL ROAD GROUP #
J5640001MarylandOtherBLUE CHOICE
386902MarylandOtherMAMSI/UNITED HEALTHCARE
754AATMarylandOtherCAREFIRST GROUP #
608308600MarylandOtherUS DEPARTMENT OF LABOR
61106203MarylandOtherCAREFIRST
900070997MarylandOtherTAX ID #
P00200219MarylandOtherRAIL ROAD MEDICARE