Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS in Detroit, MI

Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS is a medicare enrolled "Physical Therapist" provider in Detroit, Michigan. His current practice location is 5101 John C. Lodge, 101 Matthaei, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 577-5833.

Mr Stephen Joseph Domzalski is licensed to practice in * (Not Available) (license number 5501010179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760498828.

Contact Information

	Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS
	5101 John C. Lodge, 101 Matthaei, Detroit, MI 48202
	(313) 577-5833
	(313) 577-1012

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stephen Joseph Domzalski
Gender	Male
Speciality	Physical Therapist
Location	5101 John C. Lodge, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760498828
Provider Enumeration Date: 07/31/2006
Last Update Date: 12/10/2015

Medicare PECOS Information:

PECOS PAC ID: 2567832298
Enrollment ID: I20221221001393

Medical Identifiers

Medical identifiers for Mr Stephen Joseph Domzalski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760498828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501010179 (* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Stephen Joseph Domzalski allows following entities to bill medicare on his behalf.

Provider Name	Michigan Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804

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. Mr Stephen Joseph Domzalski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS 5101 John C. Lodge, 101 Matthaei, Detroit, MI 48202 Ph: (313) 577-5833	Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS 5101 John C. Lodge, 101 Matthaei, Detroit, MI 48202 Ph: (313) 577-5833

Reviews and Comments

Physical Therapist in Detroit, MI

Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174
Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309
Mr. Olugesin Akande, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20122 W Mcnichols Rd, Detroit, MI 48219 Phone: 313-538-0140 Fax: 313-538-0147
Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114
Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744
Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233
Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100

Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS - Medicare Physical Therapist in Detroit, MI