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

Fred Luster, MPT

Individual provider Physical Therapist · NPI 1316480254

Fred Luster, MPT is a Physical Therapist in Private Practice in Granger, Indiana. Qualified in 1999, 27 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
27
Licensed in
IN
In the registry since
2016
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

3221 Beacon Pkwy Ste 100
Granger, IN 46530
Phone: (574) 647-2930
Fax: (574) 647-2935
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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
  • 900 I St Ste 100, La Porte, IN 46350-5533 — (219) 324-1730
  • 440 Hickory Ln, Nappanee, IN 46550-1114 — (574) 221-1376
  • 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 — (574) 647-5790

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05006770A (IN)

Record details

NPI number1316480254
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedNovember 26, 2016
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Beacon Health Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Granger