Jesse Young Bruzan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05016100A Issued in IN

Practice address

6330 E 75TH St Ste 116
Indianapolis, IN 46250-2717

Phone

(317) 577-9338

NPI assigned

Aug 8, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Monticello, IN
  • NPI 1356971295

  IN

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Noblesville, IN
  • NPI 1659018265

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Medical Rehabilitation Clinics Inc

  • Rehabilitation Clinic/Center
  • Portage, IN
  • NPI 1225033202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1386529295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 BEAVER CREEK LN APT 3305",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376514",
            "telephone_number": "219-801-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST STE 116",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-577-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZAN",
        "first_name": "JESSE",
        "middle_name": "YOUNG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Darian Brunson I
• Lesley Frances Brusda, MS ED
• Savanna H Bruski, DO
• Kimberly Chantha Brutchen
• Caitlin Fischer Brutout, PHARM D
• Bryan Bingham D.C., P.C.
• Alexa Bryan, MSW, LCSW
• Eric Andrew Bryan, LMHC
• Pamela S Bryan, MD
• Bryant Tribe Transport LLC

• All providers in Indianapolis, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.