DR. JUSTIN NICHOLAS VICTOR (PT, DPT) – Physical Therapist, NPI 1043610074

DR. JUSTIN NICHOLAS VICTOR (PT, DPT) is a healthcare provider. based in Allen park, Michigan. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. PT60747438 (WA). The NPI Number for DR. JUSTIN NICHOLAS VICTOR (PT, DPT) is 1043610074

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN NICHOLAS VICTOR (PT, DPT)
NPI
1043610074
Phone
(313) 587-0812
Address
15285 OCEANA AVE
Enumeration Date
27 August 2014
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8668396979
Graduation Year
2014 (12 years ago)
PAC ID
1759501539
Group Practice PAC ID
7416283817
Professional Enrollment ID
I20190903003079
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DR. JUSTIN NICHOLAS VICTOR (PT, DPT)

  • 15285 OCEANA AVE

    ALLEN PARK, MI 481011955

    Phone: (313) 587-0812

    Type: Mailing

  • 2900 CHARLEVOIX DR SE

    #200

    GRAND RAPIDS, MI 495467085

    Phone: (616) 975-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416283817View full group profile
NameSpecialtyState
ANGELA SPOONER HANSON (DPT)
Physical Therapist In Private PracticeWA
MR. RODNEY COPES (PT)
Physical Therapist In Private PracticeWA
YI XIE (P.T.)
Physical Therapist In Private PracticeWA
AMY R GREIG
-WA
AMANDA RIXEY (DPT)
-WA
RACHEL DIANE COZBY (DPT)
Physical Therapist In Private PracticeIL
SHARON E MCCALLUM (PT)
-WA
WENDY BARNETT PETERS (DPT)
-WA
TOCHI ONYEKACHI EGBUZIE (DPT)
Physical Therapist In Private PracticeTX
BRAD S DEFENBAUGH (DPT)
-WA

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Frequently asked questions

What is the registry number for DR. JUSTIN NICHOLAS VICTOR (PT, DPT)?
The registry entry for DR. JUSTIN NICHOLAS VICTOR (PT, DPT) shows NPI 1043610074.
Is DR. JUSTIN NICHOLAS VICTOR (PT, DPT)'s NPI status active today?
Active status means DR. JUSTIN NICHOLAS VICTOR (PT, DPT)'s NPI record is not deactivated in the public file.
How should patients interpret DR. JUSTIN NICHOLAS VICTOR (PT, DPT)'s specialty?
The extract shows Physical Therapist for DR. JUSTIN NICHOLAS VICTOR (PT, DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JUSTIN NICHOLAS VICTOR (PT, DPT)?
DR. JUSTIN NICHOLAS VICTOR (PT, DPT) is associated with Allen Park, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.