MEDICARE: MORGAN BROOKS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05014736A	IN
2	2255A2300X	Athletic Trainer	36003287A	IN

General Provider Information

NPI Number	:	1518603489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN BROOKS DPT

Provider Business Mailing Address
First Line	:	33900 HARPER AVE STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:	586-350-2644
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 SHADELAND STATION WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3925
Country	:	US
Telephone Number	:	317-912-4620
Fax Number	:	317-912-4621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	04/13/2026

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Directions to “ MORGAN BROOKS DPT” Practice Location

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