Grant Klotzbuecher, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

310924 Issued in CA

Practice address

2065 Half Day Rd
Deerfield, IL 60015-1241

Phone

(920) 980-4537

NPI assigned

Aug 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1083169692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NATOMA STATION DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307965",
            "telephone_number": "916-905-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 HALF DAY RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151241",
            "telephone_number": "920-980-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZBUECHER",
        "first_name": "GRANT",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310924",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine Dawn Klingenberg
• Angelica Kociolek, MA
• Albert Kohen, LMT
• Olga V. Konyakova, LCSW, CADC
• Allan M Korn, M.D.
• Eva M Korzeniowski -Lyon, D.D.S.

• Physical Therapist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.