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BRAYDEN CLAYE CLARK
NPI 1316787823
Physical Therapist - Sports in Fort Wayne, IN

Active since May 31, 2024
11143 PARKVIEW PLAZA DR STE 100, FORT WAYNE, IN 46845(260) 266-7400(260) 266-7439 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brayden Claye Clark NPPES

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

BRAYDEN CLAYE CLARK (NPI 1316787823) is an individual sports provider in Fort Wayne, Indiana, licensed in Indiana (05015560A) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1316787823
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameBRAYDEN CLAYE CLARK
Location Address11143 PARKVIEW PLAZA DR STE 100Fort Wayne, IN 46845-1728
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-7400
Fax(260) 266-7439
Sole ProprietorNo
Enumeration DateMay 31, 2024
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1316787823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in IN · 05015560A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
11143 PARKVIEW PLAZA DR STE 100, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brayden Claye Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brayden Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parkview Health System, Inc.
0.1 mi
Urology
11141 PARKVIEW PLAZA DR STE 320
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1144555020 (260) 482-8681

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

Other Providers at the Same Location NPPES 20

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

MS. ANDREA JANTSON SMITH MSPT
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
NICHOLAS JAMES SKINNER
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
DR. THOMAS M RUEDIGER PT
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
GAIL ALTEKRUSE PT
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
LOGAN A LUCAS PT
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
DIANE L STRAESSLE P.T.
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400
JULIE FERLAND DPM
Podiatrist (Foot & Ankle Surgery)
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 425-6300
ABIGAIL BEVER PT
Physical Therapist
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845
Allen County (260) 266-7400

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 Brayden Clark's NPI number?

The NPI number for Brayden Clark is 1316787823. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Brayden Clark located?

Brayden Clark practices at 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845. The listed phone number is (260) 266-7400.

What is Brayden Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Brayden Clark enrolled in Medicare?

Yes. Brayden Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brayden Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brayden Clark reassigns Medicare benefits to Parkview Health System, Inc. (Fort Wayne, IN). The 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 Brayden Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brayden Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Brayden 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 Brayden Clark was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.