MICHELE RAE DYKSTRA MA-CCC, SLP
NPI 1821584111
Speech-Language Pathologist in Rockford, MI

Q: What is Michele Dykstra's NPI number?

The NPI number for Michele Dykstra is 1821584111. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is Michele Dykstra's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Dykstra was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2018Accepts Medicare Assignment

521 E DIVISION ST, ROCKFORD, MI 49341(616) 866-6859 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michele Rae Dykstra Ma-ccc, Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE RAE DYKSTRA MA-CCC, SLP (NPI 1821584111) is an individual speech-language pathologist provider in Rockford, Michigan and active in the NPI registry since July 2018. She is a graduate of Michigan State University College Of Human Medicine (1995).

NPPES Registry Identity

NPI1821584111

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMICHELE RAE DYKSTRACredential: MA-CCC, SLP

Location Address521 E DIVISION STRockford, MI 49341-1376

Mailing Address521 E Division StRockford, MI 49341-1376 · (616) 866-6859

Phone(616) 866-6859

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 1995

Enumeration DateJuly 10, 2018

✔ NPI 1821584111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

521 E DIVISION ST, Rockford, MI 49341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele Rae Dykstra Ma-ccc, Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294087631

PECOS Enrollment IDI20181011002762

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE BEYOND BARRIERS REHABILITATION

Clinic/Center (Physical Therapy)