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

Nicholas Vandermyde

Individual provider Physical Therapist · NPI 1902454820

Nicholas Vandermyde is a Physical Therapist in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2991 Deli Dr NE
Grand Rapids, MI 49525-3130
Phone: (616) 914-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1902454820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 4, 2019

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