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

Sidney Wallis, DPT

Individual provider Physical Therapist · NPI 1164392122

Sidney Wallis, DPT is a Physical Therapist in Private Practice in Flushing, Michigan. Qualified in 2025, 1 year ago. Practices with Primary Prevention Physiotherapy PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

209 S Cherry St
Flushing, MI 48433-2020
Phone: (810) 487-9733
Fax: (810) 867-4938
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501304139 (MI)

Record details

NPI number1164392122
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address209 S Cherry St, Flushing, MI 48433-2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Primary Prevention Physiotherapy Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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