Brandon Wallace, PT
Physical Therapist · Southfield, MI
Brandon Wallace, PT is a physical therapist with a practice address in Southfield, Michigan, and NPI 1700395274, issued on Sep 27, 2017. Check the license (Michigan 5501018432, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Brandon Wallace
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 5501018432 MI
Self-reported in NPPES; status is on the state search - Practice location
- 29900 Southfield RD, Southfield, MI 48076
- Phone
- (248) 663-0400
- Enumerated
- Sep 27, 2017
- Record last updated
- Sep 27, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (248) 621-5003
- Medicare enrollment
- Enrolled (PECOS I20171019002697); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 9,592 in Michigan → Look up another NPI →
Also registered at 29900 Southfield RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stacy Gibson, DPTPhysical Therapist1407283872
Verify Brandon Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5501018432Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 72.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Cks OF Mt Clemens LLCClinton Township, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Brandon Wallace among 9,592 physical therapist records in Michigan
Brandon Wallace, PT is one of 9,592 physical therapist records with a practice address in Michigan. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 48% of them.
- NPI issued2017 · 48% of these records are older, 49% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 32% of these records are
- Graduated2017 · median 2015 among the 3,075 with a school on file
- Record last updated2017 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
187 physical therapist records list a practice address in Southfield
They are 187 of the 5,689 NPPES records with a practice address in Southfield, and 9,592 physical therapist records in Michigan.
All 9,592 in Michigan → Every provider in Southfield → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Roohi Ali, P.T.Southfield, MI 480761760400519
- Monsuru Bello, RPTLathrup Village, MI 480761982784252
- Shweta BhatiaSouthfield, MI 480761659696516
- Omid Entezami, PTSouthfield, MI 480761528261781
- Ryan Fakult, DPTSouthfield, MI 480761821131228
- Michael GilbertSouthfield, MI 480761780912873
- Suchi Modi, RPTSouthfield, MI 480761164757647
- Mikhail Muhammad, DPTLathrup Village, MI 480761689715211
Common questions
What is Brandon Wallace, PT's NPI number?
Brandon Wallace, PT's National Provider Identifier (NPI) is 1700395274, issued on Sep 27, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Brandon Wallace, PT located?
The NPPES record lists a practice address at 29900 Southfield RD, Southfield, MI, 48076. Phone: (248) 663-0400. Providers update this record themselves, so call before visiting.
How can I verify Brandon Wallace, PT's license?
NPPES lists Michigan license number 5501018432, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
What is Brandon Wallace, PT's MIPS final score?
The 2023 MIPS final score is 72.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.