Organization Active NPI

Peace Physical Therapy PLLC

  • Home Health Agency
  • Walled Lake, MI
National Provider Identifier
1528918331
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACE PHYSICAL THERAPY PLLC
Practice address
995 N Pontiac TRL Unit 144
Walled Lake, MI 48390-7005
Phone
(248) 931-1517
NPI assigned
Jan 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. Ryan Watha, DPTNPI 1548076151
Title
Physical Therapist
Phone
(248) 931-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

995 N Pontiac TRL Unit 144
Walled Lake, MI 48390-7005

Mailing address

995 N Pontiac TRL Unit 144
Walled Lake, MI 48390-7005
Phone (248) 931-1517

National Provider Directory

National Provider Directory

Locations

995 N Pontiac Trl
Unit 144
Walled Lake, MI 48390
Phone (248) 931-1517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1528918331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N PONTIAC TRL UNIT 144",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483907005",
            "telephone_number": "248-931-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N PONTIAC TRL UNIT 144",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483907005",
            "telephone_number": "248-931-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "WATHA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-931-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.