MICHELE RAE DYKSTRA (NPI# 1821584111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821584111 |
| Entity Type | Individual |
| Full Name | MICHELE RAE DYKSTRA |
| Credential | MA-CCC, SLP |
| Practice Address |
521 E Division St Rockford MI 49341-1376 |
| Practice Telephone | 6168666859 |
| Mailing Telephone | 6168666859 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639321433 | Michele Dykstra | Physical Therapist | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2008-10-13 |
| Street Address |
521 E DIVISION ST |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487087300 | Life Beyond Barriers Rehabilitation | Clinic/Center | 521 E Division St, Rockford, MI 49341-1376 | 2013-08-14 |
| 1316594161 | Jared Swider | Physical Therapist | 521 E Division St, Rockford, MI 49341-1376 | 2019-08-26 |
| 1932676525 | Dereck Fitzgerald Chavis | Occupational Therapist | 521 E Division St, Rockford, MI 49341-1376 | 2018-11-01 |
| 1881090272 | Christin Paige Ankney | Physical Therapist | 521 E Division St, Rockford, MI 49341-1376 | 2014-11-12 |
| 1841605060 | Sara Roach | Physical Therapist | 521 E Division St, Rockford, MI 49341-1376 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021715 | Mitten State Pediatric Therapy LLC | Speech-Language Pathologist | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 | 2020-07-29 |
| 1467079988 | Michelle Prach | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-06-30 |
| 1093371221 | Teresa Jeannette Doherty | Speech-Language Pathologist | 420 Sunrise Ln, Rockford, IL 61107-4948 | 2019-05-13 |
| 1124536412 | Karen Lynn Locarno | Speech-Language Pathologist | 5620 Spring Creek Rd, Rockford, IL 61114-6442 | 2018-01-20 |
| 1346757374 | Cynthia Otoole - Granberry | Speech-Language Pathologist | 3615 W Gate Pkwy, Rockford, IL 61108-6162 | 2017-12-28 |
| 1245746627 | Jodi L Palmer | Speech-Language Pathologist | 2423 Burrmont Rd, Rockford, IL 61107-1839 | 2017-12-20 |
| 1871008920 | Sharon Marie Garlick | Speech-Language Pathologist | 3805 Rural St, Rockford, IL 61107-3555 | 2017-12-12 |
| 1154836799 | Kate Alison Dineen | Speech-Language Pathologist | 212 N London Ave, Rockford, IL 61107-4425 | 2017-12-05 |
| 1003320920 | Inna Natanova | Speech-Language Pathologist | 5222 Spring Creek Rd, Rockford, IL 61114-6330 | 2017-11-30 |
| 1265946313 | Jane Marie Sudderberg | Speech-Language Pathologist | 1751 Clinton St, Rockford, IL 61103-4804 | 2017-11-28 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.