Carmen Vandyke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016738 Issued in MI

Practice address

3040 Waterchase Way SW
Apt 302
Wyoming, MI 49519-5990

Phone

(616) 644-3061

NPI assigned

Sep 11, 2014

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1780639658
  Medicare reassignment Care Compare group NPD
• Alliance Physical Therapy Group LLC

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144
  Medicare reassignment NPD
• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1437923729
  NPD

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1972904761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WATERCHASE WAY SW",
            "address_2": "APT 302",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495195990",
            "telephone_number": "616-644-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 WATERCHASE WAY SW",
            "address_2": "APT 302",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495195990",
            "telephone_number": "616-644-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020738",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Michelle Vanderveen, LMSW
• Nathan John Vanderweele
• Zachary Austin Vanderweide, DC
• Colleen Vandoren
• Chelsea Vandriel, DPT
• Dale Vandyke, OD
• Michelle L Vandyke, DDS
• Jennifer Vandyken
• Jordan Vandyken
• Jeanine Vanloon

• Physical Therapist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.