Victoria Susan Ciavaglia, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501304645 Issued in MI

Practice address

933 3 Mile Rd NW Ste 204
Grand Rapids, MI 49544-1673

Phone

(616) 577-8218

NPI assigned

Sep 1, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1184533747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "313-549-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 204",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-577-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVAGLIA",
        "first_name": "VICTORIA",
        "middle_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Ashley Churchill, D.O.
• Kevin Frederick Churchill, DPT
• Brandon J Churchman, PA-C, DDS
• Louis Ciaramello
• Rachel Ciaramello, PHARMD
• Anina L Cicerone-Carder, PA-C
• Marcos Cid, D.D.S. M.S.
• Alison Marie Ciesa-Boomer, LMSW
• Alina Kathryn Ciesielski
• Britta Cieslak, LLBSW

• All providers in Grand Rapids, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.