Domingo Faustino Mejia Jr.
Physical Therapy Assistant in Ft. Eustis, VA. Individual provider (NPI-1).
NPI number1609134162
StatusActive
Last updated in NPPESMay 2, 2012
Details
- NPI
- 1609134162
- Entity type
- Individual (NPI-1)
- Name
- Mr. Domingo Faustino Mejia Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2012
- Last updated
- May 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
576 Jefferson AveMcDonald Army Health Center
Ft. Eustis, VA 23604-5548
Phone 757-314-7637
Mailing address
1522 Kiskiak CirYorktown, VA 23691-5114
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