Active NPI
Piotr Kluba, P.T.
- Physical Therapist
- Sterling Heights, MI
National Provider Identifier
1427009281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42609
- Practice address
- 38300 Van Dyke Ave
Suite 101
Sterling Heights, MI 48312-1123 - Phone
- (586) 977-5700
- Fax
- (586) 977-5704
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501003177 | MI | |
| Physical Therapist | 225100000X | PT42609 | FL | Primary |
Addresses
Primary practice location
38300 Van Dyke Ave
Suite 101
Sterling Heights, MI 48312-1123
Mailing address
38300 Van Dyke Ave
Suite 101
Sterling Heights, MI 48312-1123
Phone (586) 977-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42609 | FL | MD | Physical Therapist |
| 5501003177 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1427009281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38300 VAN DYKE AVE",
"address_2": "SUITE 101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121123",
"telephone_number": "586-977-5700",
"fax_number": "586-977-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38300 VAN DYKE AVE",
"address_2": "SUITE 101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121123",
"telephone_number": "586-977-5700",
"fax_number": "586-977-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUBA",
"first_name": "PIOTR",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501003177",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.