Dominique Blackmon is one of 51 physical therapists practicing in Rockwall, Texas .
Dominique Blackmon practices with Ideal Physical Therapy Of Texas LLC.
Registry record (NPPES)
NPI
1942088612
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
379 E FM 1382 Ste 100
Enumerated
Sep 15, 2023
Record last updated
Sep 24, 2025
Medicare (CMS)
Enrollment
Medicare-enrolled in IL, TXPhysical Therapist in Private Practice
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2268 N Lakeshore Dr Suite 106Rockwall , TX 75087
More physical therapists in Rockwall
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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