Individual provider Active NPI

Michelle Lynn Van Dusen, PT, DPT CERT. DN

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1295525442
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2024-0343 Issued in NM
Practice address
3454 Zafarano Dr Ste a
Santa Fe, NM 87507-2667
Phone
(505) 216-5008
NPI assigned
May 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2024-0343 NM Primary

Addresses

Primary practice location

3454 Zafarano Dr Ste a
Santa Fe, NM 87507-2667

Mailing address

3454 Zafarano Dr Ste a
Santa Fe, NM 87507-2667
Phone (505) 216-5008

Other practice location 1

4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117001924 NM Practitioner - Physical Therapist in Private Practice 4082105143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NM Santa Fe PT Investment LLCGroup PAC ID 0446667414, 7 clinicians

Practice addresses (Care Compare)

460 Saint Michaels Dr
Suite 501
Santa Fe, NM 87505-7632
Phone (505) 780-8783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2024-0343NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NM Santa Fe PT Investment LLC Physical Therapist CurrentSince Oct 23, 2025 Accepting new patients
Allcare Physical Therapy LLC Physical Therapist CurrentSince May 11, 2025 Accepting new patients

Locations

460 Saint Michaels Dr
Ste 501
Santa Fe, NM 87505
Phone (505) 780-8783

3454 Zafarano Dr
Ste A
Santa Fe, NM 87507
Phone (505) 216-5008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1295525442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 ZAFARANO DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072667",
            "telephone_number": "505-216-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ZAFARANO DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072667",
            "telephone_number": "505-216-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Beckner Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073641",
            "country_code": "US",
            "telephone_number": "505-772-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PT, DPT CERT. DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.