Individual provider Active NPI

Jaclyn Barcikowski, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1609280981
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OT016644 Issued in PA
Practice address
1800 Lombard St FL 1
Philadelphia, PA 19146
Phone
(215) 893-2676
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X OT016644 PA
Physical Medicine & Rehabilitation Physician 208100000X OT016644 PA Primary

Addresses

Primary practice location

1800 Lombard St FL 1
Philadelphia, PA 19146

Mailing address

1800 Lombard St FL 1
Philadelphia, PA 19146-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807003949 PA Practitioner - Physical Medicine and Rehabilitation 8325375728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

60 E Townshipline Rd
Moss Rehab and Physical Medicine
Elkins Park, PA 19027-2220
Phone (215) 663-6677

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Moss Rehab Inpatient rehabilitation facility, Elkins Park, PA, CCN 39T142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT016644PAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 1, 2019 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1200 W Tabor Rd
Philadelphia, PA 19141
Phone (215) 456-9470

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1609280981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-893-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCIKOWSKI",
        "first_name": "JACLYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "PA",
            "license": "OT016644",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OT016644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.