MRS. CLEON SHERRILL BROUSSARD P.T.
NPI 1013992577
Physical Therapist - Pediatrics in Tecumseh, MI
About Mrs. Cleon Sherrill Broussard P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CLEON SHERRILL BROUSSARD P.T. (NPI 1013992577) is an individual pediatrics provider in Tecumseh, Michigan, licensed in Michigan (5501007019) and active in the NPI registry since December 2005. She is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Cleon Sherrill Broussard P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Cleon Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 165 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cleon Broussard's NPI number?
The NPI number for Cleon Broussard is 1013992577. It was assigned to this individual provider in the NPPES registry on December 7, 2005. The provider is also known as Cleon Sherrill Grooms Pt.
Where is Cleon Broussard located?
Cleon Broussard practices at 9224 Bramble Rd, Tecumseh, MI 49286. The listed phone number is (517) 438-2169.
What is Cleon Broussard's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.
Is Cleon Broussard enrolled in Medicare?
Yes. Cleon Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Cleon Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cleon Broussard reassigns Medicare benefits to Athletico Ltd (Adrian, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cleon Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cleon Broussard accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cleon Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cleon Broussard was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Cleon Sherrill Broussard, P.T. · NPI 1013992577
Pediatrics provider in Tecumseh, Michigan. Individual provider, active in the CMS NPPES registry since December 7, 2005.
## Identity
- **NPI:** 1013992577 (Entity type: Individual)
- **Enumerated:** December 7, 2005
- **Primary specialty:** Physical Therapist - Pediatrics · taxonomy 2251P0200X
- **State license:** 5501007019 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 9224 BRAMBLE RD, Tecumseh, MI 49286-8712
- **Phone:** (517) 438-2169
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Athletico Ltd (NPI 1073920161, Adrian, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** November 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1013992577) · Data from the CMS NPPES public registry.