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

Mr. Benjamin John Wallis, MSPT

Individual provider Physical Therapist · NPI 1871554899

Mr. Benjamin John Wallis, MSPT is a Physical Therapist in Private Practice in Novi, Michigan. Qualified in 2000, 26 years ago. Practices with Plymouth Physical Therapy Specialists Limited Partnership, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

39885 Grand Riv Ste 300
Novi, MI 48375
Phone: (248) 615-0282
Fax: (248) 615-0415
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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 1585173 (MI)

Record details

NPI number1871554899
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESJuly 13, 2026
Mailing address39885 Grand River, Ste 300, Novi, MI 48375

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Plymouth Physical Therapy Specialists Limited Partnership — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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