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LORI DOMINICZAK PT
NPI 1548450372
Physical Therapist - Pediatrics in Brown Deer, WI

Active since July 27, 2007
4002 W CHERRYWOOD LN, BROWN DEER, WI 53209(414) 378-3375 Get Directions Write a Review

NPPES record last updated: July 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Dominiczak Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI DOMINICZAK PT (NPI 1548450372) is an individual pediatrics provider in Brown Deer, Wisconsin, licensed in Wisconsin (2714-024) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1548450372
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameLORI DOMINICZAKCredential: PT
Location Address4002 W CHERRYWOOD LNBrown Deer, WI 53209-1002
Mailing Address4002 W Cherrywood LnBrown Deer, WI 53209-1002
Phone(414) 378-3375
Sole ProprietorYes
Enumeration DateJuly 27, 2007
✔ NPI 1548450372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in WI · 2714-024
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4002 W CHERRYWOOD LN, Brown Deer, WI 53209
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Other Identifiers 1

Medicaid40440700WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOMINICZAK THERAPY ASSOCIATES, LLC
Physical Therapist
4002 W CHERRYWOOD LN
BROWN DEER, WI 53209
Milwaukee County (414) 378-3375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Dominiczak's NPI number?

The NPI number for Lori Dominiczak is 1548450372. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Lori Dominiczak located?

Lori Dominiczak practices at 4002 W Cherrywood Ln, Brown Deer, WI 53209. The listed phone number is (414) 378-3375.

What is Lori Dominiczak's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Lori Dominiczak was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.