Dominic Prospero
Occupational Therapist · South Bend, IN
Dominic Prospero is an occupational therapist with a practice address in South Bend, Indiana, and NPI 1851898076, issued on Apr 13, 2018. Check the license (Indiana 31007611A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dominic Prospero
- Primary taxonomy
- Occupational Therapist 225X00000X
- License numbers
- 31007611A IN
056-012465 IL
Self-reported in NPPES; status is on the state search - Practice location
- 53880 Carmichael Dr, South Bend, IN 46635
- Phone
- (574) 247-9441
- Enumerated
- Apr 13, 2018
- Record last updated
- Oct 12, 2023
- Fax
- (574) 247-9442
- Medicare enrollment
- Enrolled (PECOS I20231020002818); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest occupational therapist records → All 2,966 in Indiana → Look up another NPI →
Also registered at 53880 Carmichael Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mary Bacsik, PAPhysician Assistant1578082582
- Christopher Balint, D.O.Orthopaedic Surgery Physician1609858703
- David Bankoff, M.D.Orthopaedic Surgery Physician1316929417
- Carolyn Barbus, PA-CPhysician Assistant1073733051
- Heidi Bell, FNP-BCFamily Nurse Practitioner1821223488
- Thomas Bemenderfer, MDOrthopaedic Surgery Physician1891105425
Verify Dominic Prospero in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 31007611ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Central Indiana Orthopedics LLCSouth Bend, IN
- Orthopedic And Sports Medicine Center OF Northern Indiana IncElkhart, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dominic Prospero among 2,966 occupational therapist records in Indiana
Dominic Prospero is one of 2,966 occupational therapist records with a practice address in Indiana. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 58% of them.
- NPI issued2018 · 58% of these records are older, 36% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 14% of these records are
- Graduated2017 · median 2014 among the 413 with a school on file
- Record last updated2023 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225X00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
55 occupational therapist records list a practice address in South Bend
They are 55 of the 3,178 NPPES records with a practice address in South Bend, and 2,966 occupational therapist records in Indiana.
All 2,966 in Indiana → Every provider in South Bend → Occupational Therapist nationwide →
The 8 occupational therapist records with the nearest ZIP codes
- Kimberly Forehand, OTRSouth Bend, IN 466351457766479
- Courtney Kavanaugh, OTRSouth Bend, IN 466351780115691
- Debra Leazenby, OTRSouth Bend, IN 466351740623933
- Glenn Lofy, OTR/CLT/CKTPSouth Bend, IN 466351538448667
- Amy McMahon, O.T.South Bend, IN 466351295767325
- Lisa Michaud Glenn, OTRSouth Bend, IN 466351760407332
- Lindsey Nagy, MS OTSouth Bend, IN 466351861848418
- Ruth NoeldnerSouth Bend, IN 466351396762373
Common questions
What is Dominic Prospero's NPI number?
Dominic Prospero's National Provider Identifier (NPI) is 1851898076, issued on Apr 13, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Dominic Prospero located?
The NPPES record lists a practice address at 53880 Carmichael Dr, South Bend, IN, 46635. Phone: (574) 247-9441. Providers update this record themselves, so call before visiting.
How can I verify Dominic Prospero's license?
NPPES lists Indiana license number 31007611A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.