Active NPI
Zachary Benton, DPT
- Physical Therapist
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303237
- Practice address
- 5722 Metro Way SW Ste B
Wyoming, MI 49519-9524 - Phone
- (616) 840-7529
- Fax
- (616) 840-9693
- NPI assigned
- Mar 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303237 | MI | Primary |
Addresses
Primary practice location
5722 Metro Way SW Ste B
Wyoming, MI 49519-9524
Mailing address
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000
Other practice location 1
6333 Kalamazoo Ave SE Ste 600
Grand Rapids, MI 49508-7858
Phone (616) 649-1577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7402 Westshire Dr
Suite 105
Lansing, MI 48917-8687
Phone (517) 853-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303237 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820
6333 Kalamazoo Ave SE
Ste 600
Grand Rapids, MI 49508
Phone (616) 649-1577
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
5722 Metro Way SW
Ste B
Wyoming, MI 49519
Phone (616) 252-3000
Interoperability endpoints
- zachary.benton.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
- Physical Therapist
- Lansing, MI
- NPI 1134428642
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1295592541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495035247",
"telephone_number": "616-840-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 METRO WAY SW STE B",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199524",
"telephone_number": "616-840-7529",
"fax_number": "616-840-9693"
}
],
"practiceLocations": [
{
"address_1": "6333 Kalamazoo Ave SE Ste 600",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495087858",
"country_code": "US",
"telephone_number": "616-649-1577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTON",
"first_name": "ZACHARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-04",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.