Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Charles Wilson, PT, DPT

Individual provider Physical Therapist · NPI 1265006712

Justin Charles Wilson, PT, DPT is a Physical Therapist in Private Practice in Burnsville, Minnesota. Qualified in 2021, 5 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
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

14451 Grand Ave
Burnsville, MN 55306-5708
Phone: (952) 993-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 300 Lake Dr E, Chanhassen, MN 55317-9302 — (952) 993-4300
  • 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 — (952) 993-7400
  • 15301 Grove Cir N, Maple Grove, MN 55369-4475 — (952) 993-5900
  • 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 — (952) 993-5900
  • 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 — (952) 993-4500
  • 4155 County Road 101 N, Plymouth, MN 55446-2307 — (952) 993-8900
  • 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 — (952) 993-3400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MN)

Record details

NPI number1265006712
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Burnsville