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

Brayden Claye Clark

Individual provider Sports Physical Therapist · NPI 1316787823

Brayden Claye Clark is a Sports Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
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Practice location Address checks out

11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 05015560A (IN)

Record details

NPI number1316787823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

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