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

Michael James Klobucher, PT, DPT, OCS, CMPT

Individual provider Physical Therapist · NPI 1396039541

Michael James Klobucher, PT, DPT, OCS, CMPT is registered under Physical Therapist in Private Practice in Rockford, Michigan. Qualified in 2011, 15 years ago. Practices with Shoreline Sport and Spine PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

65 S Main St Ste C
Rockford, MI 49341-1286
Phone: (616) 866-8084
Fax: (616) 866-8085
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501015559 (MI)

Record details

NPI number1396039541
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS , CMPT
Sole proprietorNo
NPI enumeratedJune 6, 2011
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Shoreline Sport And Spine Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Shoreline Sport and Spine PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 45 clinicians in the practice; 12 are shown here.

Other providers in Rockford