Individual provider Active NPI

Reid Larson Walleman, PT, DPT

  • Physical Therapist
  • Bay City, MI
National Provider Identifier
1477482123
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304335 Issued in MI
Practice address
6700 Westside Saginaw Rd
Bay City, MI 48706-9325
Phone
(989) 667-9800
NPI assigned
May 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304335 MI Primary

Addresses

Primary practice location

6700 Westside Saginaw Rd
Bay City, MI 48706-9325

Mailing address

804 N Water St
Bay City, MI 48708-5620
Phone (989) 573-8266

Other practice location 1

4616 State St
Saginaw, MI 48603-3805
Phone (989) 355-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

804 N Water St
Bay City, MI 48708-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501304335MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renue 001 Freeland LLC Physical Therapist CurrentSince Jul 3, 2026 Accepting new patients

Locations

804 N Water St
Bay City, MI 48708
Phone (989) 450-3341

7329 Industrial Dr
Freeland, MI 48623
Phone (989) 573-8266

8680 Gratiot Rd
Ste B
Saginaw, MI 48609
Phone (989) 401-4791

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1477482123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WATER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085620",
            "telephone_number": "989-573-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WESTSIDE SAGINAW RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069325",
            "telephone_number": "989-667-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 State St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033805",
            "country_code": "US",
            "telephone_number": "989-355-1010",
            "fax_number": "989-355-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLEMAN",
        "first_name": "REID",
        "middle_name": "LARSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.