Cleon Broussard, P.T.
Cleon Broussard, P.T. is a Pediatric Physical Therapist in Tecumseh, MI, registered under NPI 1013992577. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 9224 BRAMBLE RD, Tecumseh, MI 49286. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5501007019 | MI | Sports Physical Therapist |
| 5501007019 | MI | Orthopedic Physical Therapist |
| 5501007019 | MI | Pediatric Physical Therapist primary |
| 5501007019 | MI | Physical Therapist |
| 5501007019 | MI | Geriatric Physical Therapist |
| 5501007019 | MI | Neurology Physical Therapist |
This provider holds licence 5501007019 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 1658338132
- Enrollment ID
- I20041216000192
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. NUCC Health Care Provider Taxonomy, code 2251P0200X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251S0007X | Sports Physical Therapist Sports | 5501007019 | MI | |
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 5501007019 | MI | |
| 2251P0200X | Pediatric Physical Therapist Pediatrics | 5501007019 | MI | primary |
| 225100000X | Physical Therapist | 5501007019 | MI | |
| 2251G0304X | Geriatric Physical Therapist Geriatrics | 5501007019 | MI | |
| 2251N0400X | Neurology Physical Therapist Neurology | 5501007019 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1013992577 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 7, 2005 |
| Last updated | Nov 2, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | P.T. |
| Practice address |
9224 BRAMBLE RD Tecumseh, MI 49286 (517) 438-2169 |
| Other names |
Cleon Grooms Former Legal Business Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 9 | 9 | 2 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 9 | 9 | 4 | 5 | 5 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.