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

Robert Wichlacz, MPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1487629085

Robert Wichlacz, MPT is a Physical Medicine & Rehabilitation Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035
Phone: (616) 942-7200
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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 5501006967 (MI)
Physical Therapist Taxonomy 225100000X · Licence 5501006967 (MI)

Record details

NPI number1487629085
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESAugust 20, 2019
Mailing address3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035

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