DR. MICHELLE KRISTIN KLATY (DPT) – Physical Therapist, NPI 1114104601

DR. MICHELLE KRISTIN KLATY (DPT) is a healthcare provider. based in Grand blanc, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501011508 (MI). The NPI Number for DR. MICHELLE KRISTIN KLATY (DPT) is 1114104601

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE KRISTIN KLATY (DPT)
NPI
1114104601
Phone
(810) 210-5391
Address
1478 SAND PIPER DR
Enumeration Date
27 January 2008
Last Update Date
21 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487884300
Graduation Year
2002 (24 years ago)
PAC ID
4082632823
Group Practice PAC ID
2860624103
Professional Enrollment ID
I20110907000830
Address ID
MI482371297OA25900RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. MICHELLE KRISTIN KLATY (DPT)

  • 1478 SAND PIPER DR

    GRAND BLANC, MI 484397244

    Phone: (810) 210-5391

    Type: Location

  • Eisenhower Parkway, Ann Arbor, Washtenaw County, Michigan, 48104, United States

    ANN ARBOR, MI 481083231

    Phone: (734) 677-0070

    Fax: (734) 677-0890

    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: 2011-09-07

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
I20110907000830IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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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: 2860624103View full group profile
NameSpecialtyState
Clinical PsychologistMI
-MI
Clinical PsychologistMI
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistMI
Occupational Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Qualified Speech Language PathologistMI
-MI
-MI

Reviews

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Frequently asked questions

What identifier follows DR. MICHELLE KRISTIN KLATY (DPT) across health systems?
The NPI 1114104601 uniquely identifies DR. MICHELLE KRISTIN KLATY (DPT) in U.S. healthcare data.
Should I treat DR. MICHELLE KRISTIN KLATY (DPT) as an active provider?
Patients and plans typically see DR. MICHELLE KRISTIN KLATY (DPT) as active in the national extract.
Which specialty label fits DR. MICHELLE KRISTIN KLATY (DPT)?
NPPES ties DR. MICHELLE KRISTIN KLATY (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. MICHELLE KRISTIN KLATY (DPT) tied to Grand Blanc, Michigan?
If you are local to Grand Blanc, Michigan, DR. MICHELLE KRISTIN KLATY (DPT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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