Arkaduisz M Debicki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005298A Issued in IN

Practice address

3222 Mishawaka Ave
South Bend, IN 46615-2352

Phone

(574) 255-8730

NPI assigned

May 19, 2006

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concept Therapy Professional CorporationGroup PAC ID 8123117876, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Concept Therapy Home Health LLC

  • Home Health Agency
  • South Bend, IN
  • NPI 1629806823

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Concept Therapy Professional Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • South Bend, IN
  • NPI 1497824577

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Concept Therapy Home Health LLC

  • Home Health Agency
  • South Bend, IN
  • NPI 1629806823
  NPD
• Concept Therapy Professional Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Elkhart, IN
  • NPI 1558856542
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1881648582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "address_2": "SUITE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152352",
            "telephone_number": "574-255-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Old US 20 W",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141168",
            "country_code": "US",
            "telephone_number": "574-327-6518",
            "fax_number": "574-327-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 E McKinley Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "46545",
            "country_code": "US",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBICKI",
        "first_name": "ARKADUISZ",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005298A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300037693",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Day, MSW, LCSW
• Ajanta Dayal
• Alexis Daymont
• Laura Anne Deak, NP
• Kelly Lynn Deakins, MS, CCC-SLP
• Katie A Debicki, SLP
• Decatur County Memorial Hospital (Morningside Nursing and Memory Care Center)
• Amy Hertzler Deel, NP
• Anastasia Deferbrache, RBT
• Kenna Defina, LMHC LCPC NCC

• Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.