BRENDON MATTHEW CLARK
NPI 1114483336
Physical Therapist in Indianapolis, IN

Active since February 12, 2019Accepts Medicare Assignment
5265 E 82ND ST STE 200, INDIANAPOLIS, IN 46250(317) 542-3723 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Feb 12, 2019 (2 updates tracked since 2019).

About Brendon Matthew Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDON MATTHEW CLARK (NPI 1114483336) is an individual physical therapist in Indianapolis, Indiana, licensed in Indiana (05015804A) and active in the NPI registry since February 2019. He maintains a secondary practice location in Indianapolis and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114483336
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRENDON MATTHEW CLARK
Location Address5265 E 82ND ST STE 200Indianapolis, IN 46250-1627
Mailing Address8127 Heathery PlIndianapolis, IN 46214-2280 · (317) 246-7549
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 12, 2019
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1114483336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IN · 05015804A
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
5265 E 82ND ST STE 200, Indianapolis, IN 46250

Secondary Practice Location 1

Location 18127 Heathery PlIndianapolis, IN 46214-2280 · Phone (317) 246-7549

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brendon Matthew Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305372764
PECOS Enrollment IDI20241209001936

Medicare Billing Reassignments

2

Medicare enrollment records show Brendon Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
5949 W RAYMOND ST
Indianapolis, IN 46241
  • Reassigned Medicare billing, Indiana enrollment
  • 317 clinicians in this Medicare group
Clinic/Center
1505 US HIGHWAY 41 STE A20
Schererville, IN 46375
  • Reassigned Medicare billing, Indiana enrollment
  • 250 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
89 services21 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
80 services20 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
73 services16 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
60 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5265 E 82ND ST STE 200
INDIANAPOLIS, IN 46250
Physical Therapist
5265 E 82ND ST STE 200
INDIANAPOLIS, IN 46250
Physical Therapist (Orthopedic)
5265 E 82ND ST STE 200
INDIANAPOLIS, IN 46250
Physical Therapist
5265 E 82ND ST STE 200
INDIANAPOLIS, IN 46250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendon Clark's NPI number?

The NPI number for Brendon Clark is 1114483336. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Brendon Clark located?

Brendon Clark practices at 5265 E 82nd St Ste 200, Indianapolis, IN 46250. The listed phone number is (317) 542-3723.

What is Brendon Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Brendon Clark enrolled in Medicare?

Yes. Brendon Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brendon Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendon Clark reassigns Medicare benefits to 2 organizations: Advanced Physical Therapy, LLC (Indianapolis, IN) and Athletico, Ltd (Schererville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brendon Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendon Clark accept?

Health plans from CareSource list Brendon Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brendon Clark was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.