Derick Deante Bothwell, DPT, ATC - Physical Therapist in Montgomery, AL

Derick Deante Bothwell, DPT, ATC is a Physical Therapist based in Montgomery, Alabama. Derick Deante Bothwell is licensed to practice in Alabama (license number 1-1087) and his current practice location is 464 Saint Lukes Dr, Montgomery, Alabama. He can be reached at his office (for appointments etc.) via phone at (334) 244-6699.

NPI number for Derick Deante Bothwell is 1174135768 and his current mailing address is 464 Saint Lukes Dr, Montgomery, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174135768.

Contact Information

Derick Deante Bothwell, DPT, ATC
464 Saint Lukes Dr,
Montgomery, AL 36117-7104
(334) 244-6699
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDerick Deante Bothwell
GenderMale
SpecialityPhysical Therapist
Location464 Saint Lukes Dr, Montgomery, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174135768
  • Provider Enumeration Date: 08/17/2020
  • Last Update Date: 03/01/2022

Medical Identifiers

Medical identifiers for Derick Deante Bothwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174135768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1-1087 (Alabama)Primary
2255A2300XSpecialist/technologist - Athletic Trainer 1839 (Alabama)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derick Deante Bothwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derick Deante Bothwell, DPT, ATC
464 Saint Lukes Dr,
Montgomery, AL 36117-7104

Ph: (334) 244-6699
Derick Deante Bothwell, DPT, ATC
464 Saint Lukes Dr,
Montgomery, AL 36117-7104

Ph: (334) 244-6699

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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