Active NPI
Brian L. Stockman, MPT
- Physical Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009690A
- Practice address
- 1081 Broad Ripple Ave
Indianapolis, IN 46220-2034 - Phone
- (317) 808-0350
- Fax
- (317) 808-0349
- NPI assigned
- Dec 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009690A | IN | Primary |
Addresses
Primary practice location
1081 Broad Ripple Ave
Indianapolis, IN 46220-2034
Mailing address
33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156546 | Other | IN | GROUP MEDICARE |
| 100257920 | Other | IN | GROUP MEDICAID |
| 200930400A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1081 Broad Ripple Ave
Indianapolis, IN 46220-2034
Phone (317) 808-0350
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230
1081 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-3731
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1831334580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 BROAD RIPPLE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202034",
"telephone_number": "317-808-0350",
"fax_number": "317-808-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKMAN",
"first_name": "BRIAN",
"middle_name": "L.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009690A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "156546",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "100257920",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200930400A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.