Jacob David Brockert, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501304352 Issued in MI

Practice address

43097 Woodward Ave Ste 102
Bloomfield Township, MI 48302-5042

Phone

(313) 278-4601

NPI assigned

May 13, 2026

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 MI

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

State licenses

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.

• Dearborn Speech and Sensory Center, Inc

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1033510821
  Medicare reassignment

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1932037397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44670 ANN ARBOR RD W STE 130",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 102",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025042",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4967 Crooks Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985802",
            "country_code": "US",
            "telephone_number": "248-509-9700",
            "fax_number": "248-509-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 W Square Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480982929",
            "country_code": "US",
            "telephone_number": "248-688-9010",
            "fax_number": "248-688-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKERT",
        "first_name": "JACOB",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Patrick Baessler, D.P.M.
• Frederick D Bartholomew, MD
• Devon Elizabeth Battershell, MA, LLP
• Bloomfield Behavioral Health Associates PLLC
• Riley Brantley, LMSW
• Christine E. Fisk Ms LLP PLLC
• Alexandra J Colvard, LPC
• Costco Wholesale Corporation
• Anahid Lisa Derbabian, LLPC
• Amber Donahue, LMSW

• Physical Therapist in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.