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

Benjamin Vaughn

Individual provider Orthopedic Physical Therapist · NPI 1306218227

Benjamin Vaughn is a Physical Therapist in Private Practice in Portage, Michigan. Qualified in 2015, 11 years ago. Practices with Michigan Ear Nose Throat and Allergy Specialists PC, a 42-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015

Practice location Address checks out

6016 Lovers Ln Ste 3
Portage, MI 49002-3050
Phone: (269) 329-0934
Fax: (269) 329-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501017354 (MI)

Record details

NPI number1306218227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2015
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address866 3 Mile Rd Nw, Grand Rapids, MI 49544-8217

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Michigan Ear Nose Throat And Allergy Specialists Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage