Pamela Kay Dykehouse

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003027 Issued in MI

Practice address

4450 Cascade Rd SE
Grand Rapids, MI 49546-3633

Phone

(616) 949-5140

Fax

(616) 575-5123

NPI assigned

Jul 19, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Porter Hills Home Health West

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1508845066
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1366928632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 CHANDY DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251311",
            "telephone_number": "616-676-8835",
            "fax_number": "616-575-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463633",
            "telephone_number": "616-949-5140",
            "fax_number": "616-575-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKEHOUSE",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Randall Dyer, LMSW
• Heidi Lynn Dygert, LMSW
• Gabriella Dyke, DO
• John Dyke
• Saleh F Dyke, MD
• Ashley Elizabeth Dykema
• Joni Lynn Dykema
• Hilary Jo Dykhouse, L.M.S.W.
• Jennifer Dykhouse, LMSW
• Jennifer B Dykhouse, PA

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.