DANIEL WOLOCKO (NPI# 1457857005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457857005 |
| Entity Type | Individual |
| Full Name | DANIEL WOLOCKO |
| Credential | PT |
| Practice Address |
36475 Five Mile Rd Livonia MI 48154-1971 |
| Mailing Address |
13245 Newburgh Rd Livonia MI 48150-5011 |
| Practice Telephone | 7346558240 |
| Mailing Telephone | 7346558240 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
5501011168 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5501011168 | 05 |
| Street Address |
36475 FIVE MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265497374 | Yahya Albeer | Radiology | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2006-04-20 |
| 1164048583 | Michael Zhao | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-06-22 |
| 1609499847 | Ron Guron | Radiology | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-05-21 |
| 1114555091 | Julia Tsinberg | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-27 |
| 1588291900 | Yara Tinawi | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-25 |
| 1295362762 | Dilara Turk | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-25 |
| 1972130508 | Daniel Kalabat | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-24 |
| 1932736592 | Miranda Ajulufoh | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-24 |
| 1154958643 | Hani Alhourani | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-24 |
| 1598392276 | Caroline Elizabeth Adams | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770086217 | Michelle Duckett | Physical Therapist | 5722 Metro Way Sw, Wyoming, MI 49519-9524 | 2018-03-12 |
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1245367473 | Brian J Adams | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2007-02-27 |
| 1972667780 | Stonebrooke Family Physicians | Physical Therapist | 2930 Crooks Rd, Rochester Hills, MI 48309-3609 | 2006-12-19 |
| 1508848318 | Mary Free Bed Rehabilitation, L.l.c | Physical Therapist | 1845 Livernois Rd, Troy, MI 48083-1731 | 2005-11-17 |
| 1487254561 | Eric Kinney | Physical Therapist | 46001 Grand River Ave, Novi, MI 48374-1319 | 2020-10-28 |
| 1679065379 | Wendy Joan Dufour | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-05-30 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1720580327 | David Selak | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-02-28 |
| 1033610886 | Derek Chan | Physical Therapist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2018-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.