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

Mr. Link A Dephouse, PT

Individual provider Physical Therapist · NPI 1710071360

Mr. Link A Dephouse, PT is a Physical Therapist in Private Practice in Grand Haven, Michigan. Qualified in 1999, 27 years ago. Practices with Shoreline Sport and Spine PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

921 S Beechtree St Ste 5
Grand Haven, MI 49417-2385
Phone: (616) 842-0555
Fax: (616) 842-0553
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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 5501011546 (MI)

Record details

NPI number1710071360
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address18000 Cove Street, Suite 202, Spring Lake, MI 49456-1383

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Shoreline Sport And Spine Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Haven