Adam L Borcik, RPT
Individual provider Active NPI Physical Therapist · Dothan, AL
NPI 1275539769 · NPPES record last updated Nov 20, 2014
Key facts
- NPI
- 1275539769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH3740 (AL)
- Practice address
- 345 Healthwest Dr
Dothan, AL 36303-2053 - Phone
- (334) 836-4523
- Fax
- (334) 673-0599
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- 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, Inc
Practice addresses (Care Compare)
345 Healthwest Dr
Dothan, AL 36303-2053
Phone (334) 836-4523
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060705000143 | AL | Practitioner - Physical Therapist in Private Practice | 6002828373 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3740 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current |
Accepting new patients |
| SBJS PC | Physical Therapist | Current |
Accepting new patients |
| S.B.J.S. PC | Current |
Accepting new patients | |
| Encore Rehabilitation, Inc | Physical Therapist | Current |
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
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
1480 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-1266
21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3740 | AL | Yes |
Addresses
Primary practice location
345 Healthwest Dr
Dothan, AL 36303-2053
Mailing address
PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-09124 | Other | AL | BCBS OF ALABAMA |
| 890016810 | Medicaid | AL | |
| 121678 | Medicaid | AL |
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.