HEATHER RENEE DEJONGE (M.S.P.T.) – Physical Therapist, NPI 1144420381

HEATHER RENEE DEJONGE (M.S.P.T.) is a healthcare provider. based in Wyoming, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.S.P.T.. They hold a License No. 5501010121 (MI). The NPI Number for HEATHER RENEE DEJONGE (M.S.P.T.) is 1144420381

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER RENEE DEJONGE (M.S.P.T.)
NPI
1144420381
Phone
(616) 460-3955
Address
2511 WYOMING AVE SW
Enumeration Date
24 July 2007
Last Update Date
24 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164603955
Graduation Year
1999 (27 years ago)
PAC ID
1456414069
Professional Enrollment ID
I20090108000175
Address ID
MI490101302AL104XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for HEATHER RENEE DEJONGE (M.S.P.T.)

  • 2511, Wyoming Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495192233

    Phone: (616) 460-3955

    Fax: (616) 257-0853

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090108000175IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49519)

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Reviews

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Frequently asked questions

What is the registry number for HEATHER RENEE DEJONGE (M.S.P.T.)?
The registry entry for HEATHER RENEE DEJONGE (M.S.P.T.) shows NPI 1144420381.
Is HEATHER RENEE DEJONGE (M.S.P.T.)'s NPI status active today?
Active status means HEATHER RENEE DEJONGE (M.S.P.T.)'s NPI record is not deactivated in the public file.
What type of care does HEATHER RENEE DEJONGE (M.S.P.T.) provide?
HEATHER RENEE DEJONGE (M.S.P.T.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to HEATHER RENEE DEJONGE (M.S.P.T.)?
The directory associates HEATHER RENEE DEJONGE (M.S.P.T.) with Wyoming, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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