Organization Active NPI

Energize Wellness & Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Traverse City, MI
National Provider Identifier
1699619973
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENERGIZE WELLNESS & PHYSICAL THERAPY, PLLC
Practice address
117 S Union St Unit B
Traverse City, MI 49684-2665
Phone
(231) 883-2323
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Cassidy KleinNPI 1205405024
Title
Member
Phone
(231) 883-2323

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

117 S Union St Unit B
Traverse City, MI 49684-2665

Mailing address

2463 Harbor Reach Dr
Traverse City, MI 49686-8461
Phone (231) 883-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260604003296 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153892799 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

117 S Union St
Unit B
Traverse City, MI 49684
Phone (231) 883-2323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1699619973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 HARBOR REACH DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868461",
            "telephone_number": "231-883-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S UNION ST UNIT B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842665",
            "telephone_number": "231-883-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGIZE WELLNESS & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-883-2323"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.