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

Benjamin Vaughn

Individual provider Orthopedic Physical Therapist · NPI 1306218227

Benjamin Vaughn is a Physical Therapist in Private Practice in Portage, Michigan. Qualified in 2015, 11 years ago. Practices with Michigan Ear Nose Throat and Allergy Specialists PC, a 42-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015

Practice location Address checks out

6016 Lovers Ln Ste 3
Portage, MI 49002-3050
Phone: (269) 329-0934
Fax: (269) 329-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501017354 (MI)

Record details

NPI number1306218227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2015
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Michigan Ear Nose Throat And Allergy Specialists Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage