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

Nicholas Mychalowych, DPT

Individual provider Physical Therapist · NPI 1194340596

Nicholas Mychalowych, DPT is a Physical Therapist in Private Practice in Woodhaven, Michigan. Qualified in 2020, 6 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

20059 King Rd
Woodhaven, MI 48183-1032
Phone: (734) 365-5112
Fax: (734) 365-5115
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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 5501019581 (MI)

Record details

NPI number1194340596
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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