Back 2 Life Physical Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

1106250 Issued in TX

Legal business name

BACK 2 LIFE PHYSICAL THERAPY

Practice address

7502 Greenville Ave
Dallas, TX 75231-3832

Phone

(214) 369-7881

Fax

(214) 369-7882

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kyla Sue Killian, P.T.

Title

Owner

Phone

(469) 438-6058

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013137975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313832",
            "telephone_number": "214-369-7881",
            "fax_number": "214-369-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313832",
            "telephone_number": "214-369-7881",
            "fax_number": "214-369-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 LIFE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-438-6058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "1106250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Bachelor-Quiceno, M.S. CCC-SLP
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• Lauren J Bachman, PMHNP-BC
• Payton Reilly Bachman
• Robert M Bachoo, MD, PHD
• Back Able Medical Supply LLC
• Back ICU PLLC
• Back Pain Institute of Dallas
• Back Pro, Inc.
• Back to Health Chiropractic, PLLC

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.