Organization Active NPI

Eagle Physical Therapy PLLC

  • Physical Therapist
  • Clio, MI
National Provider Identifier
1649108762
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EAGLE PHYSICAL THERAPY PLLC
Practice address
11463 N Saginaw Rd Ste 1And4
Clio, MI 48420-1621
Phone
(810) 287-5014
NPI assigned
May 11, 2026
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Pellumb Kurtaga, PT,DPTNPI 1083337729
Title
Owner
Phone
(810) 287-5014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

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

Mailing address

11463 N Saginaw Rd Ste 1And4
Clio, MI 48420-1621
Phone (810) 287-5014

National Provider Directory

National Provider Directory

Locations

11463 N Saginaw Rd
Ste 1AND4
Clio, MI 48420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1649108762",
    "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": [],
    "basic": {
        "organization_name": "EAGLE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "KURTAGA",
        "authorized_official_first_name": "PELLUMB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-287-5014",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.