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

Joseph Brady Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1164021093

Joseph Brady Clark, PTA is a Physical Therapy Assistant in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1030 Scott Dr
Prescott, AZ 86301-4737
Phone: (928) 778-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-012200 (AZ)

Record details

NPI number1164021093
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 21, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

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