Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Vandyke

Individual provider Physical Therapist · NPI 1972904761

Carmen Vandyke is a Physical Therapist in Private Practice in Wyoming, Michigan. Qualified in 2014, 12 years ago. Practices with Advent Rehabilitation, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
12
Licensed in
IL, MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3040 Waterchase Way SW Apt 302
Wyoming, MI 49519-5990
Phone: (616) 644-3061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016738 (MI)
Physical Therapist Taxonomy 225100000X · Licence 070.020738 (IL)

Record details

NPI number1972904761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESMarch 30, 2015
Mailing address3040 Waterchase Way Sw, Apt 302, Wyoming, MI 49519-5990

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advent Rehabilitation, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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