Dery Rehabilitation Services, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DERY REHABILITATION SERVICES, PC

Practice address

901 W Main St
Lowell, MI 49331-1503

Phone

(616) 897-7055

Fax

(616) 897-7366

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Casimir A Kilyanek, PT

Title

Vice-President

Phone

(616) 897-7055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366588196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493310268",
            "telephone_number": "616-897-7055",
            "fax_number": "616-897-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311503",
            "telephone_number": "616-897-7055",
            "fax_number": "616-897-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERY REHABILITATION SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILYANEK",
        "authorized_official_first_name": "CASIMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "616-897-7055",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Deboer
• Cassandra Kay Debruyn, LLPC
• Eric John Defouw, PHARMD
• Mary Margaret Delaski, Fse, MT-BC
• Dery Physical Therapy Services, PC
• Shelbi Dale Diamond, SST
• Cortney Rae Duffner, LMSW
• Rebekah Marie Dukes
• Julianne Dusendang
• Miranda May Eden, MT-BC

• Physical Therapy Clinic/Center in Lowell, MI
• Providers in Lowell, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.