Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dominic Anthony Cusumano IV, PT

Individual provider Physical Therapist · NPI 1033637459

Mr. Dominic Anthony Cusumano IV, PT is a Physical Therapist in Private Practice in Shelby Twp, Michigan. Graduated from University of Michigan Medical School in 2017, 9 years ago. Practices with Kss of Shelby LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

48875 Hayes Rd
Shelby Twp, MI 48315-4405
Phone: (586) 532-9602
Fax: (586) 439-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501018404 (MI)

Record details

NPI number1033637459
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESSeptember 6, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Kss Of Shelby Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelby Twp