Active NPI
Piotr Norbert Domagala, PT
- Physical Therapist
- Mount Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009980
- Practice address
- 926 E Northwest Hwy
Mount Prospect, IL 60056-3444 - Phone
- (847) 459-4779
- Fax
- (847) 479-5771
- NPI assigned
- Jan 11, 2007
- Last updated
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-009980 | IL | Primary |
| Geriatric Physical Therapist | 2251G0304X | NU | ||
| Hand Physical Therapist | 2251H1200X | NU | ||
| Human Factors Physical Therapist | 2251H1300X | NU | ||
| Neurology Physical Therapist | 2251N0400X | NU | ||
| Sports Physical Therapist | 2251S0007X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
926 E Northwest Hwy
Mount Prospect, IL 60056-3444
Mailing address
920 E Northwest Hwy
Mount Prospect, IL 60056-3444
Phone (847) 459-4779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 E Northwest Hwy
Mount Prospect, IL 60056-3444
Phone 8474594779113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P D Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| Renew Physical Therapy and Wellness LLC | Physical Therapist | Past | Accepting new patients |
Locations
920 E Northwest Hwy
Mt Prospect, IL 60056
Phone (847) 459-4779
Organizations & group practices 2
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.
-
dba PDR Physical Therapy & Wellness Center
- Physical Therapist
- Mount Prospect, IL
- NPI 1487704409
-
- Physical Therapist
- Mount Prospect, IL
- NPI 1891618997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1558411561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 E NORTHWEST HWY",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563444",
"telephone_number": "847-459-4779",
"fax_number": "847-459-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E NORTHWEST HWY",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563444",
"telephone_number": "847-459-4779",
"fax_number": "847-479-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMAGALA",
"first_name": "PIOTR",
"middle_name": "NORBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009980",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.