Michele Rae Dykstra, MA-CCC, SLP
NPI 1821584111ActiveIndividual· Speech-Language Pathologist· Rockford, MI
Speech-Language Pathologist (MA-CCC, SLP) in Rockford, Michigan, trained at Michigan State University College of Human Medicine (class of 1995). Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1821584111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA-CCC, SLP |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2018 |
| Last updated in NPPES | Jul 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MI) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Human Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Life Beyond Barriers RehabilitationTraverse City, MI · 15 clinicians
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