Douglas Scott Korcek, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9569 Issued in CA

Practice address

122 Scott River Rd
Fort Jones, CA 96032-9620

Phone

(530) 468-5528

Fax

(530) 468-5445

NPI assigned

Jun 28, 2005

Reactivated

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donato and Wood Consulting IncGroup PAC ID 4587565171, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Donato and Wood Consulting, Inc

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1699817460
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Dallas, OR
  • NPI 1376272732
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1386640902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "FORT JONES",
            "state": "CA",
            "postal_code": "960320217",
            "telephone_number": "530-468-5528",
            "fax_number": "530-468-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SCOTT RIVER RD",
            "city": "FORT JONES",
            "state": "CA",
            "postal_code": "960329620",
            "telephone_number": "530-468-5528",
            "fax_number": "530-468-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCEK",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-05-06",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0095690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon M Ferguson, FNP
• Gregory Thomas Goodwin, PA-C
• Robin Jewel Haskins, CADC-CAS
• Michael Hess, MD
• Amber Lee Hunter, FNP-C
• Laurie Jean Laquey, MFTI
• Marble Mountain Health
• Mark Grant Medinnus, DDS
• Kunjal R Patel
• Quartz Valley Indian Reservation

• Physical Therapist in Fort Jones, CA
• Providers in Fort Jones, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.