DERICK DEANTE BOTHWELL (NPI# 1174135768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174135768 |
| Entity Type | Individual |
| Full Name | DERICK DEANTE BOTHWELL |
| Credential | DPT, ATC |
| Practice Address |
464 Saint Lukes Dr Montgomery AL 36117-7104 |
| Practice Telephone | 3342446699 |
| Mailing Telephone | 3342446699 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1-1087 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
464 SAINT LUKES DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688733 | Chris Vista Cardona | Specialist/Technologist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-02-16 |
| 1861006546 | Sarah Joy Cundiff | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2020-09-01 |
| 1346706504 | Mallory Lambeth | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-02-13 |
| 1720485022 | Ray Anthony Hall Jr. | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2014-12-02 |
| 1558645713 | Jacob E Ballard | Specialist/Technologist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2011-10-06 |
| 1649551003 | Tony Bridges | Specialist/Technologist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2011-08-30 |
| 1871618793 | Angela Mazza Reeves | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2007-03-20 |
| 1134260789 | Rehab Associates LLC | Clinic/Center | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2007-02-08 |
| 1891704383 | Rehab Associates, LLC | Clinic/Center | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-08-05 |
| 1427094630 | Steven David Bryson | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779107 | Jasmine Danielle Brown | Physical Therapist | 2200 Vaughn Lakes Blvd Apt 2202, Montgomery, AL 36117-4162 | 2020-01-21 |
| 1811536246 | Junghwan Bang | Physical Therapist | 500 Hyundai Blvd, Montgomery, AL 36105-9620 | 2020-01-02 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1578077277 | Christopher Thor Mckallen | Physical Therapist | 20 Walnut St Ste B, Montgomery, NY 12549-2261 | 2017-11-17 |
| 1750808135 | Sy Banks | Physical Therapist | 2972 Carter Hill Rd, Montgomery, AL 36106-2531 | 2017-08-25 |
| 1386009421 | Mary Lauren Luke | Physical Therapist | 2562 Eastern Blvd, Montgomery, AL 36117-1500 | 2015-12-16 |
| 1083089775 | Steven Bryce Chesbro | Physical Therapist | 1705 S Hull St, Montgomery, AL 36104-5551 | 2015-12-06 |
| 1235507336 | Krystel N Jurovcik | Physical Therapist | 8117 Old Federal Rd, Montgomery, AL 36117-8009 | 2015-09-04 |
| 1285034710 | Ladarius Woods | Physical Therapist | 5801 Eastdale Dr, Montgomery, AL 36117-2158 | 2014-09-03 |
| 1366851966 | Body Logic Physical Therapy LLC | Physical Therapist | 7150 Halcyon Park Dr, Montgomery, AL 36117-7713 | 2014-08-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.