Annalisa Elaine Dykstra, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019727 Issued in MI

Practice address

416 S Creyts Rd Ste B
Lansing, MI 48917-8290

Phone

(517) 327-0966

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exclusive Physical Therapy IncGroup PAC ID 9436041167, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exclusive Physical Therapy Inc

  • Physical Therapist
  • Lansing, MI
  • NPI 1275570186
  Medicare reassignment Care Compare group NPD
• Natural Health Improvement Center PC

  • General Practice Physician
  • Grandville, MI
  • NPI 1871750505
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1053927400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S CREYTS RD",
            "address_2": "STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-327-0966",
            "fax_number": "517-327-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S CREYTS RD STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-327-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "ANNALISA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary R Dvorak, LCSW
• Peggy Dye, RSW
• Breann Dyer
• Olivia Dyer, OT
• Patrick Dyjak, DO
• Pearl Dykstra, DO
• Rhana J Dyme, MSW, ACSW
• Sarah Dymond, LLMSW
• Dynamic Audiology Inc
• Dyras Dental PLLC

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.