DOUGLAS SCOTT KORCEK (P.T.) – Physical Therapist, NPI 1386640902

DOUGLAS SCOTT KORCEK (P.T.) is a healthcare provider. based in Fort jones, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT9569 (CA). The NPI Number for DOUGLAS SCOTT KORCEK (P.T.) is 1386640902

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS SCOTT KORCEK (P.T.)
NPI
1386640902
Phone
(530) 468-5528
Address
122 SCOTT RIVER RD
Enumeration Date
28 June 2005
Deactivation Date
25 March 2006
Reactivation Date
6 April 2006
Last Update Date
6 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419550940
Graduation Year
1979 (47 years ago)
PAC ID
8628169869
Group Practice PAC ID
4587565171
Professional Enrollment ID
I20160317000496
Address ID
OR975275544GR544XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for DOUGLAS SCOTT KORCEK (P.T.)

  • Scott River Road, Fort Jones, Siskiyou County, California, 96032, United States

    FORT JONES, CA 960329620

    Phone: (530) 468-5528

    Fax: (530) 468-5445

    Type: Location

  • PO BOX 217

    FORT JONES, CA 960320217

    Phone: (530) 468-5528

    Fax: (530) 468-5445

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160317000496IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96032)

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Provider's Procedures

DOUGLAS SCOTT KORCEK (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes123668
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes68957

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587565171View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeWA
-OR

Reviews

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Frequently asked questions

Does DOUGLAS SCOTT KORCEK (P.T.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOUGLAS SCOTT KORCEK (P.T.) uses 1386640902.
Is DOUGLAS SCOTT KORCEK (P.T.) still practicing?
DOUGLAS SCOTT KORCEK (P.T.) is currently listed as active in the public NPI registry.
What is DOUGLAS SCOTT KORCEK (P.T.) best known for clinically?
Directory data describes DOUGLAS SCOTT KORCEK (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS SCOTT KORCEK (P.T.) based?
DOUGLAS SCOTT KORCEK (P.T.) is tied to Fort Jones, California in the data we show; additional addresses may exist on the full record.
Is the information about DOUGLAS SCOTT KORCEK (P.T.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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