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

Derek Lee Way

Individual provider Physical Therapist · NPI 1851196679

Derek Lee Way is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

1175 Wilson Ave NW
Grand Rapids, MI 49534-6407
Phone: (616) 577-8183
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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 5501303835 (MI)

Record details

NPI number1851196679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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