Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin Nicholas Victor, PT, DPT

Individual provider Physical Therapist · NPI 1043610074

Dr. Justin Nicholas Victor, PT, DPT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan and Washington. Registered with an NPI since 2014.

Licensed in
MI, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2900 Charlevoix Dr SE #200
Grand Rapids, MI 49546-7085
Phone: (616) 975-5000
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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 PT60747438 (WA)
Physical Therapist Taxonomy 225100000X · Licence 5501016888 (MI)

Record details

NPI number1043610074
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 27, 2014
Last updated in NPPESAugust 7, 2019

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