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

Robert Budlong

Individual provider Athletic Trainer · NPI 1114478310

Robert Budlong is a Physical Therapist in Private Practice in Plymouth, 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
2016
Specialties on file
3

Practice location Address checks out

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone: (734) 416-3900
Fax: (734) 453-2118
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019820 (MI)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114478310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2016
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020
Mailing address9368 N Lilley Rd, Plymouth, MI 48170-4610

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

Other providers in Plymouth