Individual provider Active NPI

Victoria Lynn Grey, D.P.T.

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1174921449
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019755 Issued in MI
Practice address
2000 Burton St SE Ste 1
Grand Rapids, MI 49506-4670
Phone
(616) 608-8485
Fax
(616) 608-8486
NPI assigned
Dec 18, 2014
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019755 MI Primary

Addresses

Primary practice location

2000 Burton St SE Ste 1
Grand Rapids, MI 49506-4670

Mailing address

2000 Burton St SE Ste 1
Grand Rapids, MI 49506-4670
Phone (616) 608-8485

Other names 1

  • Victoria Lynn Martinez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000807 MI Practitioner - Physical Therapist in Private Practice 9234458779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

2000 Burton St SE
Suite 1
Grand Rapids, MI 49506-4670

7199 Kalamazoo Ave SE
Suite 234
Caledonia, MI 49316-7362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42324CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dery Rehabilitation Services, PC PastSince Nov 15, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1174921449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BURTON ST SE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064670",
            "telephone_number": "616-608-8485",
            "fax_number": "616-608-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BURTON ST SE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064670",
            "telephone_number": "616-608-8485",
            "fax_number": "616-608-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MARTINEZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.