Individual provider Active NPI

Arnold A Slominski, PT

  • Physical Therapist
  • Madison Heights, MI
National Provider Identifier
1437220100
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005827 Issued in MI
Practice address
28200 John R Rd
Madison Heights, MI 48071-2814
Phone
(248) 399-1060
Fax
(248) 399-3848
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 005827 MI Primary

Addresses

Primary practice location

28200 John R Rd
Madison Heights, MI 48071-2814

Mailing address

54714 Laurel Dr
Macomb, MI 48042
Phone (586) 786-7574

Other practice location 1

48380 Van Dyke Ave Ste 100
Shelby Twp, MI 48317-3277
Phone (586) 803-0303

Other identifiers 1

IdentifierTypeStateIssuer
65OF357640OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000412 MI Practitioner - Physical Therapist in Private Practice 1153507462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Rehab Center IncGroup PAC ID 9537345830, 3 clinicians

Practice addresses (Care Compare)

28200 John R Rd
Madison Heights, MI 48071-2814
Phone (248) 399-1060

48380 Van Dyke Ave
Suite 100
Shelby TWP, MI 48317-3277
Phone (586) 803-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005827MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Rehab Center, Inc. Physical Therapist CurrentSince Oct 15, 2001 Accepting new patients

Locations

28200 John R Rd
Madison Hts, MI 48071
Phone (248) 399-1060

48380 Van Dyke Ave
Ste 100
Shelby Township, MI 48317
Phone (586) 803-0303

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1437220100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54714 LAUREL DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-786-7574",
            "fax_number": "586-786-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28200 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712814",
            "telephone_number": "248-399-1060",
            "fax_number": "248-399-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48380 Van Dyke Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483173277",
            "country_code": "US",
            "telephone_number": "586-803-0303",
            "fax_number": "586-803-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOMINSKI",
        "first_name": "ARNOLD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "005827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65OF357640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.