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

Susan M Brokaw, PT

Individual provider Physical Therapist · NPI 1992054738

Susan M Brokaw, PT is a Physical Therapist in South Bend, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2012.

Licensed in
IN, MI
In the registry since
2012
Specialties on file
2
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

411 E Ireland Rd Ste 400
South Bend, IN 46614-2681
Phone: (574) 561-8950
Fax: (574) 231-8955
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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 05012405A (IN)
Physical Therapist Taxonomy 225100000X · Licence 5501300653 (MI)

Record details

NPI number1992054738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESApril 30, 2019

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