Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derick Deante Bothwell, DPT, ATC

Individual provider Physical Therapist · NPI 1174135768

Derick Deante Bothwell, DPT, ATC is a Physical Therapist in Montgomery, Alabama. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2020
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

464 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone: (334) 244-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 277 Huntress St Ste 302, Wetumpka, AL 36092-3342 — (334) 478-3543

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1-1087 (AL)
Physical Therapist Taxonomy 225100000X · Licence 10118 (AL)
Athletic Trainer Taxonomy 2255A2300X · Licence 1839 (AL)

Record details

NPI number1174135768
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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