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

Individual provider Physical Therapist · NPI 1346742970

Nicole Dehaan, MSPT, PT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2018
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

235 Wealthy St SE
Grand Rapids, MI 49503
Phone: (616) 840-8684
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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 5501012423 (MI)

Record details

NPI number1346742970
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , PT
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESDecember 24, 2020
Certification dateDecember 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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