Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Icelle Grace Villanueva Martinez, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1508423138

Icelle Grace Villanueva Martinez, PT, DPT is a Physical Medicine & Rehabilitation Physician in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
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

36313 St Andrews Dr
Livonia, MI 48152-4130
Phone: (248) 805-2622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5501012216 (MI)

Record details

NPI number1508423138
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019

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