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

Brock H. Haut, DPT

Individual provider Physical Therapist · NPI 1912394073

Brock H. Haut, DPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2003, 23 years ago. Practices with Beacon Health LLC, a 32-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1815 E Ireland Rd Ste 100
South Bend, IN 46614-2845
Phone: (574) 647-5790
Fax: (574) 647-5792
Show map & directions

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

Additional practice locations (4)

  • 200 E Jackson Blvd Ste 150, Elkhart, IN 46516-3513 — (574) 389-5558
  • 3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 — (574) 647-2930
  • 900 I St Ste 100, La Porte, IN 46350-5533 — (219) 324-1730
  • 202 Lincolnway E Ste 100, Mishawaka, IN 46544-2079 — (574) 647-2560

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05008296A (IN)

Record details

NPI number1912394073
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 16, 2015
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Beacon Health Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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