IndividualActive
Benjamin Vaughn
NPI 1306218227 · Orthopedic Physical Therapist · Portage, MI
Provider details
- NPI number
- 1306218227
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5501017354 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6016 Lovers Ln Ste 3
Portage, MI 49002-3050
Phone: (269) 329-0934
Fax: (269) 329-0965
Street-level locationGet directions
Mailing address
866 3 Mile Rd Nw
Grand Rapids, MI 49544-8217
Registry dates
- Enumerated
- 2015-10-30
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.