| Mr Dominic Anthony Cusumano Iv, PT | |
|
48875 Hayes Rd, Shelby Twp, MI 48315-4405 | |
| (586) 532-9602 | |
| (586) 439-5380 |
| Full Name | Mr Dominic Anthony Cusumano Iv |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 48875 Hayes Rd, Shelby Twp, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501018404 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kss Of Shelby Llc | 9335218619 | 18 |
| Provider Name | Kss Of Shelby Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770788739 PECOS PAC ID: 9335218619 Enrollment ID: O20080625000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dominic Anthony Cusumano Iv, PT 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: (248) 601-9207 | Mr Dominic Anthony Cusumano Iv, PT 48875 Hayes Rd, Shelby Twp, MI 48315-4405 Ph: (586) 532-9602 |
Mr. Ojas M Smart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13350 24 Mile Rd Ste 500, Shelby Twp, MI 48315 Phone: 586-997-7780 Fax: 586-997-7781 | |
Mendelson Orthopedics Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45300 Mound Rd, Shelby Twp, MI 48317 Phone: 586-439-6243 | |
Daniel Vincent Venditti, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51064 Filomena Dr, Shelby Twp, MI 48315 Phone: 586-566-5116 Fax: 586-566-5146 | |
Julie Marie Bankstahl, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14153 Rick Dr, Shelby Twp, MI 48315 Phone: 586-566-0326 | |
Tomasz Ubysz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6848 Kingsland, Shelby Twp, MI 48317 Phone: 586-707-9007 | |
Mrs. Heather Renee Costas, MSPT, CIMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50174 Schoenherr Rd, Shelby Twp, MI 48315 Phone: 586-884-5040 Fax: 586-580-0375 |