Organization Active NPI

Back Mountain Home Care,LLC

  • Physical Therapist
  • Hunlock Creek, PA
National Provider Identifier
1033730155
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK MOUNTAIN HOME CARE,LLC
Practice address
1847 State Route 29 Hwy
Hunlock Creek, PA 18621-4220
Phone
(570) 574-4587
NPI assigned
Apr 29, 2020
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Brian Meeker, MSPTNPI 1346593803
Title
Owner/Physical Therapist
Phone
(570) 574-4587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1847 State Route 29 Hwy
Hunlock Creek, PA 18621-4220

Mailing address

1847 State Route 29 Hwy
Hunlock Creek, PA 18621-4220
Phone (570) 574-4587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1033730155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 STATE ROUTE 29 HWY",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186214220",
            "telephone_number": "570-574-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 STATE ROUTE 29 HWY",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186214220",
            "telephone_number": "570-574-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK MOUNTAIN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "MEEKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "570-574-4587",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunlock Creek, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.