Jennifer Kay Dustin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012054 Issued in MI

Practice address

6500 Byron Center Ave SW Ste 202
Byron Center, MI 49315-9083

Phone

(616) 249-0750

Fax

(616) 249-0794

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality at HomeGroup PAC ID 5395175186, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Vitality at Home

  • Geriatric Physical Therapist
  • Grand Rapids, MI
  • NPI 1235777442
  Medicare reassignment Care Compare group NPD
• Center for Physical Rehabilitation Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1568416337
  NPD (past)
• Greenleaf Orthopaedic Associates S C

  • Medical Specialty Clinic/Center
  • Round Lake Beach, IL
  • NPI 1548437551
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1740398346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-249-0750",
            "fax_number": "616-249-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BYRON CENTER AVE SW STE 202",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159083",
            "telephone_number": "616-249-0750",
            "fax_number": "616-249-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTIN",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021225",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENSE",
            "identifier": "5501012054",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Curtis Eyecare, PC
• Shannon Drabek, PSY.D.
• Scott Duemler, MD
• Jeneal M Duff, PA-C
• Sara Ann Dumich, M.D.
• Brittany Dykstra
• Dinorah Isabel Dykstra, PHARM.D.
• Amanda Marie Eardley, RPH
• Kristen Eid, PHARMD
• Amy Ellis, RPH

• Physical Therapist in Byron Center, MI
• Providers in Byron Center, 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 21, 2021; 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.