Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Buta-Blair, DPT

Individual provider Physical Therapist · NPI 1649777822

Kimberly Buta-Blair, DPT is a Physical Therapist in Private Practice in East Lansing, Michigan. Qualified in 1989, 37 years ago. Practices with Leelanau Physical Therapy PC, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Licensed in
MI
In the registry since
2018
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

1720 Abbey Rd Ste A
East Lansing, MI 48823-6363
Phone: (517) 333-6692
Fax: (517) 333-6705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501004541 (MI)

Record details

NPI number1649777822
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Leelanau Physical Therapy Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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