Individual provider Active NPI

Dominik Oleksy, P.T.

  • Physical Therapist
  • Oak Park, MI
National Provider Identifier
1376598201
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009401 Issued in MI
Practice address
10626 W 9 Mile Rd
Oak Park, MI 48237-2915
Phone
(248) 546-8005
Fax
(248) 546-8115
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009401 MI Primary

Addresses

Primary practice location

10626 W 9 Mile Rd
Oak Park, MI 48237-2915

Mailing address

28035 Southfield Rd
Ste 102
Lathrup Village, MI 48076-2858
Phone (248) 546-8005

Other identifiers 1

IdentifierTypeStateIssuer
4747139MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000539 MI Practitioner - Physical Therapist in Private Practice 0244209948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28035 Southfield Rd
Suite 102
Lathrup Village, MI 48076-2858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501009401MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy Physical Therapist CurrentSince Jan 6, 2011 Accepting new patients

Locations

28035 Southfield Rd
Ste 102
Lathrup Village, MI 48076

10626 W 9 Mile Rd
Oak Park, MI 48237
Phone (248) 546-8005

2891 E Maple Rd
Troy, MI 48083
Phone (248) 524-9085

2891 E Maple Rd
Ste 103
Troy, MI 48083
Phone (248) 546-8005

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376598201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28035 SOUTHFIELD RD",
            "address_2": "STE 102",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762858",
            "telephone_number": "248-546-8005",
            "fax_number": "248-546-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372915",
            "telephone_number": "248-546-8005",
            "fax_number": "248-546-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEKSY",
        "first_name": "DOMINIK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4747139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.