Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Mark Mastbergen

Individual provider Physical Therapist · NPI 1487171872

Benjamin Mark Mastbergen is a Physical Therapist in Private Practice in Wyoming, Michigan. Qualified in 2017, 9 years ago. Practices with Hulst Jepsen Physical Therapy Inc, a 133-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

5570 Wilson Ave SW Ste A
Wyoming, MI 49418-8867
Phone: (616) 855-1495
Fax: (616) 855-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501018373 (MI)

Record details

NPI number1487171872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2017
Last updated in NPPESJuly 18, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hulst Jepsen Physical Therapy Inc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wyoming