Daniel Wolocko, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

5501011168 Issued in MI

Practice address

36475 Five Mile Rd
Livonia, MI 48154-1971

Phone

(734) 655-8240

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St Mary Mercy Hospital

  • Health Educator
  • Livonia, MI
  • NPI 1013649557
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1457857005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505011",
            "telephone_number": "734-655-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOCKO",
        "first_name": "DANIEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501011168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5501011168",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyerusalem Woldkidan
• Sherri Pam Wolf-Litman, O.D.
• Marla Elizabeth Wolf, LMSW
• Katherine Wolfe, LLBSW
• Barbara F. Wolk, PA-C
• Philip Wolok, M.D.
• Womancare of Livonia, P.C.
• Amy Wong
• Danny Yu Wong, CCP
• Robert Kamluen Wong, DDS

• Sports Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Sports Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.