Pellumb Kurtaga, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302019 Issued in MI

Practice address

11463 N Saginaw Rd Ste 1And4
Clio, MI 48420-1621

Phone

(810) 287-5014

NPI assigned

Sep 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Physical Therapy Specialists Limited PartnershipGroup PAC ID 3870488521, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

89.5

Improvement activities

40

Cost

71.87

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Northville, MI
  • NPI 1174626329
  Medicare reassignment Care Compare group NPD
• Michigan Rehabilitation Specialists of Fowlerville LLC

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1669531166
  Medicare reassignment NPD
• Peak Rehab LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1629831219
  Medicare reassignment NPD
• Eagle Physical Therapy PLLC

  • Physical Therapist
  • Clio, MI
  • NPI 1649108762
  NPD Authorized official
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Saint Clair Shores, MI
  • NPI 1720672702
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1083337729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11463 N SAGINAW RD STE 1AND4",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201621",
            "telephone_number": "810-287-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11463 N SAGINAW RD STE 1AND4",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201621",
            "telephone_number": "810-287-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1794 N Lapeer Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484467664",
            "country_code": "US",
            "telephone_number": "810-664-3000",
            "fax_number": "810-664-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9339 Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484237808",
            "country_code": "US",
            "telephone_number": "810-287-5014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Imlay City",
            "state": "MI",
            "postal_code": "484449779",
            "country_code": "US",
            "telephone_number": "810-724-0421",
            "fax_number": "810-721-0423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTAGA",
        "first_name": "PELLUMB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1083337729",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083337729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lambros N Kottalis, D.C.
• Cindy Ann Krcmarik
• Kristen B Twitty Therapy PLLC
• Stephanie Marie Kurin
• Kaitlyn Kurtaga, DPT
• Danielle J Kus
• Vickie Sheryl Lamoreaux, LPN
• Jennifer Lynn Noel Larosa
• Lisa D Larson, LMSW, ACSW, CAADC
• Stephanie Lynn Lembach-Witmer, COTA/L

• Physical Therapist in Clio, MI
• Providers in Clio, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.