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

Seth David Brunner, DPT

Individual provider Physical Therapist · NPI 1114587177

Seth David Brunner, DPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

411 E Ireland Rd Ste 400
South Bend, IN 46614-2681
Phone: (574) 231-8950
Fax: (574) 231-8955
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 415 Crosslake Dr Ste B, Evansville, IN 47715-8272 — (812) 476-0409

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05013575A (IN)

Record details

NPI number1114587177
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Bend