Individual provider Active NPI

Dirk Joseph Dessecker, DPT

  • Physical Therapist
  • Jackson, MI
National Provider Identifier
1851730725
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017655 Issued in MI
Practice address
2973 Springport Rd
Jackson, MI 49201-9060
Phone
(517) 435-3461
Fax
(517) 768-9951
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60252 OR
Physical Therapist 225100000X 5501017655 MI Primary

Addresses

Primary practice location

2973 Springport Rd
Jackson, MI 49201-9060

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddessecker500673@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan and Monica Wohlfert, PC CurrentSince Dec 1, 2016 Accepting new patients

Locations

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

Interoperability endpoints

  • Direct secure messaging: ddessecker500673@direct.hfhs.org
  • Direct secure messaging: dirk.dessecker.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 1

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1851730725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1932",
            "fax_number": "630-928-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019060",
            "telephone_number": "517-435-3461",
            "fax_number": "517-768-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSECKER",
        "first_name": "DIRK",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60252",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddessecker500673@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2973 Springport Rd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492019060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.