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Wayne Park, LMT
NPI 1720472301 · Mechanotherapist · Roseville, MI
Wayne Park, LMT is a Mechanotherapist provider in Roseville, MI (NPI 1720472301).
Provider details
- NPI number
- 1720472301
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- L581371 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
27850 Gratiot Ave
Roseville, MI 48066-4803
Phone: (586) 772-5876
Street-level locationGet directions
Mailing address
57232 Newport Ln
Washington, MI 48094-3033
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2015-03-23
Frequently asked questions
- What is Wayne Park's NPI number?
- Wayne Park's National Provider Identifier (NPI) is 1720472301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Park's specialty?
- Wayne Park is listed in the NPPES registry with a primary specialty of Mechanotherapist (Other Service Providers).
- Where is Wayne Park located?
- Wayne Park's practice location on file with NPPES is 27850 Gratiot Ave, Roseville, MI 48066-4803.
- What is Wayne Park's phone number?
- The practice phone number listed in the NPPES registry for Wayne Park is (586) 772-5876.
- Is Wayne Park's NPI active?
- Yes — Wayne Park's NPI (1720472301) is active in the NPPES registry as of the last update on 2015-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.