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

Mr. Randall Glenn Brooks, PT

Individual provider Physical Therapist · NPI 1184660870

Mr. Randall Glenn Brooks, PT is a Physical Therapist in Private Practice in Granger, Indiana. Qualified in 1988, 38 years ago. Practices with Beacon Health LLC, a 32-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
38
Licensed in
IN
In the registry since
2006
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

3221 Beacon Pkwy Ste 100
Granger, IN 46530-7196
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 (3)

  • 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
  • 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 — (574) 647-5790

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05002570A (IN)

Record details

NPI number1184660870
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Beacon Health Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Granger