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	P24329	NC

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	:	12500 SOUTH FWY
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7130
Country	:	US
Telephone Number	:	817-447-2323
Fax Number	:

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	03/06/2026

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Directions to “ DOMINIC POCCI DPT” Practice Location

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