NPIMap

Organization Active NPI

Back in Action Therapy LLC

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1043386188
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1734 Issued in NM
Legal business name
BACK IN ACTION THERAPY LLC
Practice address
1011 10TH St # a
Alamogordo, NM 88310-6425
Phone
(575) 439-9878
NPI assigned
Nov 28, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Lerien Kay Hoyt
Title
Owner
Phone
(575) 439-9878

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 2081 NM
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1734 NM Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 306 NM
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1212 NM
Durable Medical Equipment & Medical Supplies 332B00000X 2081 NM

Addresses

Primary practice location

1011 10TH St # a
Alamogordo, NM 88310-6425

Mailing address

PO Box 2431
Alamogordo, NM 88311-2431
Phone (575) 439-9878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000142 NM Part B Supplier - Clinic/Group Practice 4486622628 Receives reassigned benefits from 12 practitioners
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

1011 10th St
#A
Alamogordo, NM 88310
Phone (575) 439-9878

1011A 10th St
Alamogordo, NM 88310
Phone (505) 439-9878

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1043386188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2431",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112431",
            "telephone_number": "575-439-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 10TH ST # A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106425",
            "telephone_number": "575-439-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "LERIEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-439-9878"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2081",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1734",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "306",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1212",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "2081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.