| Heather Renee Dejonge, MSPT | |
|
2511 Wyoming Ave Sw, Wyoming, MI 49519-2233 | |
| (616) 460-3955 | |
| (616) 257-0853 |
| Full Name | Heather Renee Dejonge |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2511 Wyoming Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144420381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010121 (Michigan) | Primary |
| Provider Name | Dejonge Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386379857 PECOS PAC ID: 3577939172 Enrollment ID: O20221024001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Renee Dejonge, MSPT 2511 Wyoming Ave Sw, Wyoming, MI 49519-2233 Ph: (616) 460-3955 | Heather Renee Dejonge, MSPT 2511 Wyoming Ave Sw, Wyoming, MI 49519-2233 Ph: (616) 460-3955 |
Mrs. Julie Ann Honeycutt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2780 Gullmont Dr Sw, Wyoming, MI 49418 Phone: 616-538-9709 Fax: 616-538-9709 | |
Connie Posigian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5838 Metro Way Sw, Physical Therapy Dept, Wyoming, MI 49519 Phone: 616-249-5300 | |
Sarah Ayotte, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1621 44th St Sw, Suite 300, Wyoming, MI 49509 Phone: 616-949-3538 Fax: 616-840-9697 | |
Ms. Mindy Lee Matt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199 | |
Pamela Newcomb Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-5014 | |
Mr. Mark Alan Carey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Wyoming, MI 49418 Phone: 616-855-1495 Fax: 616-855-1496 | |
Dorothy Ann Mccune, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199 |