Active NPI
Rebecca Wyatt, DO
- Physical Medicine & Rehabilitation Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5101017592
- Practice address
- 1200 E Michigan Avenue
Ste 520
Lansing, MI 48912-1837 - Phone
- (517) 364-5260
- Fax
- (517) 364-5251
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5101017592 | MI | Primary |
Addresses
Primary practice location
1200 E Michigan Avenue
Ste 520
Lansing, MI 48912-1837
Mailing address
804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053573048 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017592 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| Michigan State University | Past | Accepting new patients | |
| University Rehabilitation Alliance, Inc. | Past | Accepting new patients | |
| Michigan State University | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Flint, MI
- NPI 1275807372
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
dba Mary Free Bed Medical Group
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- Psychiatry Physician
- East Lansing, MI
- NPI 1083666820
-
- Neonatal-Perinatal Medicine Physician
- Lansing, MI
- NPI 1467535211
-
dba Origami Rehabilitation
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Mason, MI
- NPI 1205682879
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1053573048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "A201",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVENUE",
"address_2": "STE 520",
"city": "LANSING",
"state": "MI",
"postal_code": "489121837",
"telephone_number": "517-364-5260",
"fax_number": "517-364-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "REBECCA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5101017592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053573048",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.