PELLUMB KURTAGA (PT, DPT) – Physical Therapist, NPI 1083337729

PELLUMB KURTAGA (PT, DPT) is a healthcare provider. based in Imlay city, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501302019 (MI). The NPI Number for PELLUMB KURTAGA (PT, DPT) is 1083337729

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
PELLUMB KURTAGA (PT, DPT)
NPI
1083337729
Phone
(810) 724-0421
Address
1808 S Cedar St
Enumeration Date
19 September 2022
Last Update Date
11 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106558244
Graduation Year
2022 (4 years ago)
PAC ID
2062878952
Group Practice PAC ID
3870488521
Professional Enrollment ID
I20230518003115
Address ID
MI484738889SW6012XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for PELLUMB KURTAGA (PT, DPT)

  • 1808 S Cedar St

    Imlay City, MI 484449779

    Phone: (810) 724-0421

    Fax: (810) 721-0423

    Type: Location

  • 1794 N Lapeer Rd Ste C

    Lapeer, MI 484467664

    Phone: (810) 664-3000

    Fax: (810) 664-9775

    Type: Location

  • 1794 N LAPEER RD STE C

    LAPEER, MI 484467664

    Phone: (810) 664-3000

    Fax: (810) 664-9775

    Type: Mailing

  • 9339 MEADOWVIEW DR

    DAVISON, MI 484237808

    Phone: (810) 287-5014

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230518003115IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities10826$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7029$0
97140Therapy procedure using manual technique, each 15 minutes3521$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2913$0
97163Evaluation for physical therapy, typically 45 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48444)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870488521View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

What NPI should I save for PELLUMB KURTAGA (PT, DPT)?
Save NPI 1083337729 if you need a stable reference for PELLUMB KURTAGA (PT, DPT).
Is PELLUMB KURTAGA (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PELLUMB KURTAGA (PT, DPT)'s specialty in plain language?
Clinically, the directory lists PELLUMB KURTAGA (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is PELLUMB KURTAGA (PT, DPT)'s primary listing?
We display Imlay City, Michigan because that is what the record indicates for PELLUMB KURTAGA (PT, DPT).
How can I contact PELLUMB KURTAGA (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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