Organization Active NPI

Waymaker Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wyoming, MI
National Provider Identifier
1972318624
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WAYMAKER PHYSICAL THERAPY, LLC
Practice address
2640 Burlingame Ave SW
Suite a
Wyoming, MI 49509
Phone
(616) 803-8181
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Authorized official

Name
Ryan Camp, DPTNPI 1154068732
Title
Owner
Phone
(616) 803-8181

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2640 Burlingame Ave SW
Suite a
Wyoming, MI 49509

Mailing address

2640 Burlingame Ave SW Ste a
Wyoming, MI 49509-2332
Phone (616) 803-8181

National Provider Directory

National Provider Directory

Locations

2640 Burlingame Ave SW
Ste A
Wyoming, MI 49509
Phone (616) 803-8181

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1972318624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BURLINGAME AVE SW STE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092332",
            "telephone_number": "616-803-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BURLINGAME AVE SW",
            "address_2": "SUITE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-803-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMAKER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-803-8181",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.