Kennedy Renee Klein, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303706 Issued in MI

Practice address

1507 Waterford Pkwy
Saint Johns, MI 48879-9630

Phone

(989) 227-5404

Fax

(989) 227-5415

NPI assigned

May 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K 13 Physical Therapy and Sports Medicine PCGroup PAC ID 6406806876, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• K 13 Physical Therapy & Sports Medicine PC

  • Physical Therapist
  • Saint Johns, MI
  • NPI 1861405581
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1720870371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-227-5404",
            "fax_number": "989-227-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-227-5404",
            "fax_number": "989-227-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "MI",
            "postal_code": "488751672",
            "country_code": "US",
            "telephone_number": "517-743-6122",
            "fax_number": "517-743-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "KENNEDY",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica S Johnson, MD
• Molly Jordan
• K 13 Physical Therapy & Sports Medicine PC
• Justin Michael Keeler, PHARM.D.
• Kris T Kirby, LPC
• Koenigsknecht Dentistry PLLC
• Amber Koenigsknecht, PHARM.D.
• Barbara Ann Koenigsknecht, PT
• Don Koenigsknecht, DDS
• Jonathan James Koenigsknecht, DDS

• Physical Therapist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.