Link A Dephouse, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011546 Issued in MI

Practice address

921 South Beechtree Street
Suite 5
Grand Haven, MI 49417-2385

Phone

(616) 842-0555

Fax

(616) 842-0553

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.76 of 100Reported as group

Quality

100

Promoting interoperability

91

Improvement activities

40

Cost

96.35

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: link.dephouse.1@29636.direct.athenahealth.com

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.

• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1225040694

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1619787959
  Care Compare group NPD
• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1164232419
  Care Compare group

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1710071360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE STREET",
            "address_2": "SUITE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SOUTH BEECHTREE STREET",
            "address_2": "SUITE 5",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172385",
            "telephone_number": "616-842-0555",
            "fax_number": "616-842-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPHOUSE",
        "first_name": "LINK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382617193",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Deckert, LPC
• Terry R Degroot, M.D.
• Karin J Dekorver, NP
• Krista Delong, PA-C
• Lee J Demeester, MD
• Kathryn Jean Devinney, CPNP-PC
• Sarah Marie Devisser, LMSW
• Tarin Lee Devoursney, M.D.
• Lauren Devries
• Patricia Maria Devries, NP

• All providers in Grand Haven, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.