Active NPI
Jaclyn Barcikowski, D.O.
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OT016644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Jefferson Abington Hospital
- Moss Rehab
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016644 | PA | MD | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | 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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Physical Medicine & Rehabilitation Physician
- Elkins Park, PA
- NPI 1104882786
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Rehabilitation Hospital Unit
- Phila, PA
- NPI 1174522114
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- Rehabilitation Hospital Unit
- Phila, PA
- NPI 1174522114
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.