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

Mrs. Cleon Sherrill Broussard, PT

Individual provider Sports Physical Therapist · NPI 1013992577

Mrs. Cleon Sherrill Broussard, PT is a Physical Therapist in Private Practice in Tecumseh, Michigan. Qualified in 1994, 32 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2005
Specialties on file
6
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

9224 Bramble Rd
Tecumseh, MI 49286-8712
Phone: (517) 438-2169
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 5501007019 (MI)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 5501007019 (MI)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 5501007019 (MI)
Physical Therapist Taxonomy 225100000X · Licence 5501007019 (MI)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 5501007019 (MI)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 5501007019 (MI)

Record details

NPI number1013992577
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount