Organization Active NPI

Back to Life Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Francisco, CA
National Provider Identifier
1023539210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK TO LIFE PHYSICAL THERAPY, INC.
Practice address
329 Bryant St Ste 2a
San Francisco, CA 94107-1444
Phone
(415) 538-7878
Fax
(415) 538-7818
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Colleena Sein-Colon
Title
Practice Manager
Phone
(415) 538-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

329 Bryant St Ste 2a
San Francisco, CA 94107-1444

Mailing address

329 Bryant St Ste 2a
San Francisco, CA 94107-1444
Phone (415) 538-7878

Other practice location 1

4899 Shafter Ave
Oakland, CA 94609-2218
Phone (415) 538-7878

Other names 1

  • Back to Life Doing business as

National Provider Directory

National Provider Directory

Locations

4899 Shafter Ave
Oakland, CA 94609
Phone (415) 538-7878

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023539210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BRYANT ST STE 2A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071444",
            "telephone_number": "415-538-7878",
            "fax_number": "415-538-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BRYANT ST STE 2A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071444",
            "telephone_number": "415-538-7878",
            "fax_number": "415-538-7818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4899 Shafter Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946092218",
            "country_code": "US",
            "telephone_number": "415-538-7878",
            "fax_number": "415-538-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK TO LIFE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEIN-COLON",
        "authorized_official_first_name": "COLLEENA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "415-538-7878"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.