Healthcare Provider Details

I. General information

NPI: 1720104870
Provider Name (Legal Business Name): PATRICK BRIAN MCCLAIN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 HIGHWAY 71 S STE C
FORT SMITH AR
72916-9474
US

IV. Provider business mailing address

12300 HIGHWAY 71 S STE C
FORT SMITH AR
72916-9474
US

V. Phone/Fax

Practice location:
  • Phone: 479-395-1110
  • Fax: 479-358-1517
Mailing address:
  • Phone: 479-395-1110
  • Fax: 479-358-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 2692
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: