MEDICARE: DOMINIC POCCI DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP053964T	TX
2	225100000X	Physical Therapist	CP058232T	AZ

General Provider Information

NPI Number	:	1013892686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINIC POCCI DPT

Provider Business Mailing Address
First Line	:	PO BOX 412313 SUITE 102
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15255 N 40TH ST STE 123
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4638
Country	:	US
Telephone Number	:	480-502-5361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	06/21/2026

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Directions to “ DOMINIC POCCI DPT” Practice Location

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