Individual provider Active NPI

Katherine Klose, DPT

  • Physical Therapist
  • Indian River, MI
National Provider Identifier
1578029328
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019066 Issued in MI
Practice address
3805 S Straits Hwy
Indian River, MI 49749-5146
Phone
(231) 238-4880
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019066 MI Primary
Physical Therapist 225100000X PT022145 OH

Addresses

Primary practice location

3805 S Straits Hwy
Indian River, MI 49749-5146

Mailing address

2200 Berkley Ave Apt 102
Berkley, MI 48072-1761
Phone (248) 563-0287

Other practice location 1

16000 Southfield Rd
Allen Park, MI 48101-2563
Phone (313) 359-8867

Other practice location 2

30575 Woodward Ave Ste 210
Royal Oak, MI 48073-0985
Phone (248) 621-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190304001011 MI Practitioner - Physical Therapist in Private Practice 9638418973 Reassigns benefits to 1 organization
I20260203003281 OH Practitioner - Physical Therapist in Private Practice 9638418973 Reassigns benefits to 1 organization
I20260324000702 MA Practitioner - Physical Therapist in Private Practice 9638418973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph Inc 451 clinicians

Practice addresses (Care Compare)

425 Waverley Oaks Rd
Waltham, MA 02452-8506
Phone (781) 373-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022145OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Ohrh, LLC CurrentSince Jan 19, 2026 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients
Northern Michigan Sports Medicine Center Physical Therapist PastSince Apr 6, 2025 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

30575 Woodward Ave
Ste 210
Royal Oak, MI 48073
Phone (248) 280-8561

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

4850 E Main St
Ste 130
Whitehall, OH 43213
Phone (614) 517-0107

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1578029328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERKLEY AVE APT 102",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721761",
            "telephone_number": "248-563-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495146",
            "telephone_number": "231-238-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012563",
            "country_code": "US",
            "telephone_number": "313-359-8867",
            "fax_number": "313-359-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30575 Woodward Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730985",
            "country_code": "US",
            "telephone_number": "248-621-5775",
            "fax_number": "248-280-8552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOSE",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019066",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT022145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.