Individual provider Active NPI

Adam L Borcik, RPT

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1275539769
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3740 Issued in AL
Practice address
345 Healthwest Dr
Dothan, AL 36303-2053
Phone
(334) 836-4523
Fax
(334) 673-0599
NPI assigned
Jun 21, 2005
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3740 AL Primary

Addresses

Primary practice location

345 Healthwest Dr
Dothan, AL 36303-2053

Mailing address

PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060705000143 AL Practitioner - Physical Therapist in Private Practice 6002828373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

345 Healthwest Dr
Dothan, AL 36303-2053
Phone (334) 836-4523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3740ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Sep 11, 2017 Accepting new patients
SBJS PC Physical Therapist CurrentSince Oct 2, 2009 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Sep 11, 2017 Accepting new patients
S.B.J.S. PC CurrentSince Oct 2, 2009 Accepting new patients
Tallassee Rehab PC Physical Therapist Past Accepting new patients
Tallassee Rehab Physical Therapist Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1480 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-1266

1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663

1811 E Main St
#1
Dothan, AL 36301
Phone (334) 828-7300

345 Healthwest Dr
Dothan, AL 36303
Phone (334) 793-2663

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1275539769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020729",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032053",
            "telephone_number": "334-836-4523",
            "fax_number": "334-673-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCIK",
        "first_name": "ADAM",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.