Angela Marie Klem, DPT
Individual provider Active NPI Physical Therapist · Novi, MI
NPI 1497095871 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1497095871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501016228 (MI)
- Practice address
- 40000 Grand River Ave
Ste. #105
Novi, MI 48375-2121 - Phone
- (248) 478-1616
- Fax
- (248) 478-9450
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Rehabilitation Specialists of Fowlerville LLC
Practice addresses (Care Compare)
9604 Chilson CMNS
Pinckney, MI 48169-9599
Phone (810) 231-6904
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221021002223 | MI | Practitioner - Physical Therapist in Private Practice | 7810363462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fate Physical Therapy PLLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current |
Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
10415 Grand River Rd
Ste 300
Brighton, MI 48116
Phone (810) 229-6140
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138
9604 Chilson Cmns
Pinckney, MI 48169
25700 Pontiac Trl
South Lyon, MI 48178
Phone (248) 366-0403
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016228 | MI | Yes |
Addresses
Primary practice location
40000 Grand River Ave
Ste. #105
Novi, MI 48375-2121
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.