| 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: Accepting Medicare Assignments 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  |