Individual provider Active NPI

Mary Alice Hewelt, PT

  • Physical Therapist
  • Flat Rock, MI
National Provider Identifier
1629579156
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009499 Issued in MI
Practice address
29100 Gateway Blvd Ste 400
Flat Rock, MI 48134-2764
Phone
(734) 379-7900
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 5501009499 MI Primary

Addresses

Primary practice location

29100 Gateway Blvd Ste 400
Flat Rock, MI 48134-2764

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

23715 Little Mack Ave Ste 200
Saint Clair Shores, MI 48080-1181
Phone (586) 447-4070

Other practice location 2

8158 Cooley Lake Rd
White Lake, MI 48386-4309
Phone (248) 956-1894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003763 MI Practitioner - Physical Therapist in Private Practice 1951749753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy Michigan LLCGroup PAC ID 4880087766, 24 clinicians

Practice addresses (Care Compare)

29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134-2764
Phone (734) 379-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Mar 21, 2024 Accepting new patients
Benchmark Physical Therapy Michigan LLC Physical Therapist CurrentSince Dec 5, 2025 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

29100 Gateway Blvd
Ste 400
Flat Rock, MI 48134
Phone (734) 379-7900

3699 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 997-5990

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

8158 Cooley Lake Rd
White Lake, MI 48386
Phone (248) 956-1894

Organizations & group practices 3

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1629579156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BLVD STE 400",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481342764",
            "telephone_number": "734-379-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23715 Little Mack Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801181",
            "country_code": "US",
            "telephone_number": "586-447-4070",
            "fax_number": "586-447-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8158 Cooley Lake Rd",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483864309",
            "country_code": "US",
            "telephone_number": "248-956-1894",
            "fax_number": "248-430-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWELT",
        "first_name": "MARY ALICE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.