Dominic Anthony Cusumano IV, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018404 Issued in MI

Practice address

48875 Hayes Rd
Shelby TWP, MI 48315-4405

Phone

(586) 532-9602

Fax

(586) 439-5380

NPI assigned

Sep 6, 2017

Last updated

Sep 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Michigan Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KSS of Shelby LLCGroup PAC ID 9335218619, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.77 of 100Reported as group

Quality

66.1

Improvement activities

40

Cost

64.7

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KSS of Shelby LLC

  dba Healthquest Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
  • NPI 1770788739

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• KSS of Shelby LLC

  • Durable Medical Equipment & Medical Supplies
  • Shelby TWP, MI
  • NPI 1902769029
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1033637459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48875 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154405",
            "telephone_number": "586-532-9602",
            "fax_number": "586-439-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Craig, DC
• Shara L Croff, MD
• Natalie Danielle Crossen
• Dylan Cruz, MEDICAL STUDENT
• Jonnie Rae Cude
• Leigh M Czerwinski, M.A., CCC-SLP
• Danielle Nicole Dababneh, FNP
• Lindsay Nicole Dalach, CTRS
• Candace Lynne Daniels, LMSW.
• Kelly Marie Danielson, M.S.W.

• Physical Therapist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.