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

Dr. Dustin Robert Brown, PT, DPT, ATC, LAT

Individual provider Physical Therapist · NPI 1124306501

Dr. Dustin Robert Brown, PT, DPT, ATC, LAT is a Physical Therapist in Private Practice in East Peoria, Illinois. Qualified in 2009, 17 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
17
Licensed in
IA, IL
In the registry since
2011
Specialties on file
2
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

123 W Spring Creek Rd
East Peoria, IL 61611-1346
Phone: (309) 282-4800
Fax: (309) 282-4801
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021852 (IL)
Physical Therapist Taxonomy 225100000X · Licence 9428PT (IA)

Record details

NPI number1124306501
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 2, 2011
Last updated in NPPESJune 15, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Peoria