NPIMap

Organization Active NPI

Back to Wellness LLC

  • Chiropractor
  • Westport, MA
National Provider Identifier
1053544080
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
739 Issued in MA
Legal business name
BACK TO WELLNESS LLC
Practice address
637 State Rd
Westport, MA 02790-2819
Phone
(508) 679-8808
Fax
(508) 679-6199
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Jean Elizabeth Peelor, D.C.
Title
President
Phone
(508) 679-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 739 MA Primary

Addresses

Primary practice location

637 State Rd
Westport, MA 02790-2819

Mailing address

637 State Rd
Westport, MA 02790-2819
Phone (508) 679-8808

National Provider Directory

National Provider Directory

Locations

166 Chase Rd
Dartmouth, MA 02747
Phone (508) 990-8808

519 American Legion Hwy
Ste 4
Westport, MA 02790
Phone (774) 309-3555

Practitioners & affiliated clinicians

Practitioners 7

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1053544080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902819",
            "telephone_number": "508-679-8808",
            "fax_number": "508-679-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902819",
            "telephone_number": "508-679-8808",
            "fax_number": "508-679-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "PEELOR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-679-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.