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

Jonathan William Broyles, PT

Individual provider Physical Therapist · NPI 1578909297

Jonathan William Broyles, PT is a Physical Therapist in Private Practice in Wabash, Indiana. Qualified in 2012, 14 years ago. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1700 Alber St
Wabash, IN 46992-1015
Phone: (260) 569-5480
Fax: (260) 569-5485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010851A (IN)

Record details

NPI number1578909297
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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