Active NPI
Charles David Dunavan, DPT, PT
- Physical Therapist
- Wixom, MI
National Provider Identifier
1700710225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304574
- Practice address
- 29822 S Wixom Rd
Wixom, MI 48393-3434 - Phone
- (248) 926-5826
- Fax
- (248) 926-5830
- NPI assigned
- Jun 10, 2026
- Last updated
- Jun 10, 2026
- 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 | 5501304574 | MI | Primary |
Addresses
Primary practice location
29822 S Wixom Rd
Wixom, MI 48393-3434
Mailing address
9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (248) 926-5826
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, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304574 | MI | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Northville, MI
- NPI 1174626329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1700710225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9368 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "248-926-5826",
"fax_number": "248-926-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29822 S WIXOM RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933434",
"telephone_number": "248-926-5826",
"fax_number": "248-926-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAVAN",
"first_name": "CHARLES",
"middle_name": "DAVID",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wixom, MI
- Dr. Sydney Walsh PLLC
- Tanicsha Draper
- Samuel Draves, LLMSW
- Amy Vanderbeek Drean, PT
- Curtis Gregory Drogmiller, CAREGIVER, HUSBAND
- Tracy Jones Duvall, LMSW, RN
- Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
- Rana M El-Teraifi, BSC PHARMACY
- Element Chiropractic & Wellness, LLC (Element Chiropractic & Wellness)
- Cejuana Elvine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.