MR. RANDALL GLENN BROOKS (PT) – Physical Therapist, NPI 1184660870
Physical Therapist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for MR. RANDALL GLENN BROOKS (PT)
1815 E Ireland Rd Ste 100
South Bend, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
900 I St Ste 100
LA Porte, IN 463505533
Phone: (219) 324-1730
Fax: (219) 324-1735
Type: Location
200 E Jackson Blvd Ste 150
Elkhart, IN 465163513
Phone: (574) 389-5558
Fax: (574) 389-5559
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
Beacon Parkway, Granger, Saint Joseph County, Indiana, 46530, United States
GRANGER, IN 465307196
Phone: (574) 647-2930
Fax: (574) 647-2935
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2008-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080331000432 | I | Physical Therapist In Private Practice | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 517 | 56 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 133 | 28 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 54 | 16 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 35 | 34 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 22 | 12 | $0 |
Insurance plans in this area (ZIP 46614)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.