Charles David Dunavan, DPT, PT

Individual provider Active NPI Physical Therapist · Wixom, MI

NPI 1700710225 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1700710225
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501304574 (MI)
Practice address
29822 S Wixom Rd
Wixom, MI 48393-3434
Phone
(248) 926-5826
Fax
(248) 926-5830
NPI assigned
Jun 10, 2026
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plymouth Physical Therapy Specialists Limited Partnership (65 clinicians)

Practice addresses (Care Compare)

29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260617001889 MI Practitioner - Physical Therapist in Private Practice 7618449935 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304574 MI Yes

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

Other providers in Wixom, MI

All providers in Wixom, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.