BROOKE MARIE CLARK
NPI 1679262109
Speech-Language Pathologist in Toledo, OH

Q: What is Brooke Clark's NPI number?

The NPI number for Brooke Clark is 1679262109. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Q: What is Brooke Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Clark was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 02, 2023

1101 S DETROIT AVE, TOLEDO, OH 43614(419) 385-0231 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2023, May 2, 2023 (2 updates tracked since 2023).

On this page

About Brooke Marie Clark NPPES

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

BROOKE MARIE CLARK (NPI 1679262109) is an individual speech-language pathologist provider in Toledo, Ohio, licensed in Ohio (COND.20232349-SP) and active in the NPI registry since May 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1679262109

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBROOKE MARIE CLARK

Location Address1101 S DETROIT AVEToledo, OH 43614-2799

Mailing Address2621 Greenway StToledo, OH 43607-1349 · (419) 860-3962

Phone(419) 385-0231

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 2, 2023

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1679262109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in OH · COND.20232349-SP

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1101 S DETROIT AVE, Toledo, OH 43614

Open in Google Maps ↗

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)

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

PECOS PAC ID8224502158

PECOS Enrollment IDI20260701003660

Medicare Billing Reassignment

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

P.T. Services Rehabilitation, Inc.

78 mi

Physical Therapy

805 PATRIOT DRIVE, SUITE H
Wellington, OH 44090

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Pt Services Rehabilitation Inc
24 clinicians in this Medicare group

NPI 1972505576 (419) 447-7203

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

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

NORTHWEST OHIO DEVELOPMENTAL CENTER

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1101 S DETROIT AVE
TOLEDO, OH 43614

Lucas County (419) 385-0231

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 Brooke Clark's NPI number?

The NPI number for Brooke Clark is 1679262109. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Brooke Clark located?

Brooke Clark practices at 1101 S Detroit Ave, Toledo, OH 43614. The listed phone number is (419) 385-0231.

What is Brooke Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brooke Clark enrolled in Medicare?

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

Which organization bills Medicare for Brooke Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Clark reassigns Medicare benefits to P.T. Services Rehabilitation, Inc. (Wellington, OH). 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 Brooke Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Paramount list Brooke 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 Brooke Clark was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.