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

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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