IndividualActive
Justin Nicol, DPT
NPI 1043601784 · Physical Therapist · Vadnais Heights, MN
Provider details
- NPI number
- 1043601784
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 9564 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3545 Highway 61 N
Vadnais Heights, MN 55110-5223
Phone: (651) 439-8807
Fax: (651) 439-0232
Street-level locationGet directions
Mailing address
3545 Highway 61 N
Vadnais Heights, MN 55110-5223
Additional practice locations (2)
- 295 Phalen BlvdSaint Paul, MN 55130-2400Phone: (651) 254-0700
- 155 Radio Dr.Woodbury, MN 55125Phone: (952) 831-8742
Registry dates
- Enumerated
- 2015-02-17
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.