Organization Active NPI

Back in Action

  • Physical Therapist
  • Coconut Creek, FL
National Provider Identifier
1033274287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0009963 Issued in FL
Legal business name
BACK IN ACTION
Practice address
3720 Coconut Creek Pkwy
Suite a
Coconut Creek, FL 33066-1634
Phone
(954) 978-0209
Fax
(954) 978-1619
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Salmon Y Levin, R.P.T.
Title
Director
Phone
(954) 978-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0009963 FL Primary

Addresses

Primary practice location

3720 Coconut Creek Pkwy
Suite a
Coconut Creek, FL 33066-1634

Mailing address

3720 Coconut Creek Pkwy
Suite a
Coconut Creek, FL 33066-1634
Phone (954) 978-0209

National Provider Directory

National Provider Directory
Tax ID family
Back in Action6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033274287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 COCONUT CREEK PKWY",
            "address_2": "SUITE A",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661634",
            "telephone_number": "954-978-0209",
            "fax_number": "954-978-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 COCONUT CREEK PKWY",
            "address_2": "SUITE A",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661634",
            "telephone_number": "954-978-0209",
            "fax_number": "954-978-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "SALMON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-978-0209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • 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.