Lori Dominiczak, PT - Physical Therapist in Brown Deer, WI

Lori Dominiczak, PT is a Physical Therapist - Pediatrics based in Brown Deer, Wisconsin. Lori Dominiczak is licensed to practice in Wisconsin (license number 2714-024) and her current practice location is 4002 W Cherrywood Ln, Brown Deer, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 378-3375.

NPI number for Lori Dominiczak is 1548450372 and her current mailing address is 4002 W Cherrywood Ln, Brown Deer, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548450372.

Contact Information

Lori Dominiczak, PT
4002 W Cherrywood Ln,
Brown Deer, WI 53209-1002
(414) 378-3375
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLori Dominiczak
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location4002 W Cherrywood Ln, Brown Deer, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548450372
  • Provider Enumeration Date: 07/27/2007
  • Last Update Date: 07/27/2007

Medical Identifiers

Medical identifiers for Lori Dominiczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548450372NPI-NPPES
40440700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 2714-024 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Dominiczak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lori Dominiczak, PT
4002 W Cherrywood Ln,
Brown Deer, WI 53209-1002

Ph: () -
Lori Dominiczak, PT
4002 W Cherrywood Ln,
Brown Deer, WI 53209-1002

Ph: (414) 378-3375

Reviews and Comments


Physical Therapist in Brown Deer, WI

Dr. Michael A Teller, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4301 W Brown Deer Rd, Suite 101, Brown Deer, WI 53223
Phone: 414-357-7072    Fax: 414-355-2767
Matthew Michael,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209
Phone: 414-527-7500    
Mrs. Elizabeth L Paly, PT DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4301 W Brown Deer Rd, Brown Deer, WI 53223
Phone: 414-357-7072    Fax: 414-355-2767
Elizabeth Conrath, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4555 W Schroeder Dr Ste 140, Brown Deer, WI 53223
Phone: 262-432-7744    Fax: 262-432-7793
Emily Isakson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4555 W Schroeder Dr Ste 140, Brown Deer, WI 53223
Phone: 414-355-9000    Fax: 414-355-9665
Whitney Palumbo,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8875 N 60th St, Brown Deer, WI 53223
Phone: 877-407-3422    Fax: 877-407-4329

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.