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

Mr. Dominic Matthew Marini, PT

Individual provider Physical Therapist · NPI 1649358045

Mr. Dominic Matthew Marini, PT is a Physical Therapist in Private Practice in Waterford, Michigan. Qualified in 1987, 39 years ago. Practices with Kks of Michigan LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Licensed in
MI
In the registry since
2006
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

5210 Highland Rd
Waterford, MI 48327-1970
Phone: (248) 674-8855
Fax: (248) 674-1425
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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 5501003398 (MI)

Record details

NPI number1649358045
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Kks Of Michigan Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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