Organization Active NPI

Back to Health Physical Medicine and Rehab Inc

  • General Practice Physician
  • Findlay, OH
National Provider Identifier
1063810539
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BACK TO HEALTH PHYSICAL MEDICINE AND REHAB INC
Practice address
1611 Tiffin Ave
Findlay, OH 45840-6821
Phone
(419) 420-1555
Fax
(419) 420-1556
NPI assigned
Dec 15, 2014
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Christopher Berry, DCNPI 1982793782
Title
President
Phone
(419) 420-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1611 Tiffin Ave
Findlay, OH 45840-6821

Mailing address

1611 Tiffin Ave
Findlay, OH 45840-6821
Phone (419) 420-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150128000916 OH Part B Supplier - Clinic/Group Practice 8123342847 Receives reassigned benefits from 4 practitioners
Practice locations: Findlay, OH

National Provider Directory

National Provider Directory

Locations

1611 Tiffin Ave
Findlay, OH 45840
Phone (419) 420-1555

Practitioners & affiliated clinicians

Practitioners 5

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": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1063810539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TIFFIN AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406821",
            "telephone_number": "419-420-1555",
            "fax_number": "419-420-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TIFFIN AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406821",
            "telephone_number": "419-420-1555",
            "fax_number": "419-420-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH PHYSICAL MEDICINE AND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-420-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.