Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Klose, DPT

Individual provider Physical Therapist · NPI 1578029328

Katherine Klose, DPT is a Physical Therapist in Private Practice in Indian River, Michigan. Qualified in 2018, 8 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
8
Licensed in
MI, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3805 S Straits Hwy
Indian River, MI 49749-5146
Phone: (231) 238-4880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16000 Southfield Rd, Allen Park, MI 48101-2563 — (313) 359-8867
  • 30575 Woodward Ave Ste 210, Royal Oak, MI 48073-0985 — (248) 621-5775

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019066 (MI)
Physical Therapist Taxonomy 225100000X · Licence PT022145 (OH)

Record details

NPI number1578029328
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 18, 2019
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address2200 Berkley Ave Apt 102, Berkley, MI 48072-1761

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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