Organization Active NPI

Dominik Rehabilitation Services

  • Physical Therapist
  • Oak Park, MI
National Provider Identifier
1508807975
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009401 Issued in MI
Legal business name
DOMINIK REHABILITATION SERVICES
Practice address
10626 W 9 Mile Rd
Oak Park, MI 48237-2915
Phone
(248) 546-8005
Fax
(248) 546-8118
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. Dominik Oleksy, P.T.
Title
President
Phone
(248) 546-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501009401 MI Primary

Addresses

Primary practice location

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

Mailing address

10626 W 9 Mile Rd
Oak Park, MI 48237-2915
Phone (248) 546-8005

Other identifiers 1

IdentifierTypeStateIssuer
4747139MedicaidMI

National Provider Directory

National Provider Directory

Locations

3011 Caniff St
Hamtramck, MI 48212
Phone (313) 366-0755

3985 Caniff St
Hamtramck, MI 48212
Phone (313) 368-0668

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1508807975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "248-546-8118"
        },
        {
            "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": "248-546-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIK REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "OLEKSY",
        "authorized_official_first_name": "DOMINIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-546-8005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Jan 18, 2008; 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.