Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braeden Lee Clement

Individual provider Orthopedic Physical Therapist · NPI 1336855808

Braeden Lee Clement is a Physical Therapist in Private Practice in San Antonio, Texas. Qualified in 2022, 4 years ago. Practices with Revival Performance Physical Therapy, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6530 W Loop 1604 N
San Antonio, TX 78254-6319
Phone: (210) 476-5577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1385132 (TX)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 1385132 (TX)

Record details

NPI number1336855808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing address6404 Aspen Hl, San Antonio, TX 78238-5401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revival Performance Physical Therapy — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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