Healthcare Provider Details

I. General information

NPI: 1184500100
Provider Name (Legal Business Name): ALEC BARROWCLIFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10263 4TH ARMORED DR
FORT DRUM NY
13602
US

IV. Provider business mailing address

11050 MT. BELVEDERE BLVD USA MEDDAC
FORT DRUM NY
13602-5004
US

V. Phone/Fax

Practice location:
  • Phone: 208-660-5268
  • Fax:
Mailing address:
  • Phone: 208-660-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPRD-PT-LIC-32757
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: