Back to Wellness Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BACK TO WELLNESS PHYSICAL THERAPY LLC

Practice address

123D Acton Cir
Asheville, NC 28806-1043

Phone

(828) 278-4078

Fax

(828) 278-4065

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Marc Charles Modica, DPTNPI 1770776692

Title

Owner/ Operator/Physical Therapist

Phone

(828) 333-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Charles Modica, LPT

  • Physical Therapist
  • Asheville, NC
  • NPI 1770776692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1073259198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CASTLEROCK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069517",
            "telephone_number": "828-333-1250",
            "fax_number": "828-278-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123D ACTON CIR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061043",
            "telephone_number": "828-278-4078",
            "fax_number": "828-278-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MODICA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/ OPERATOR/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "828-333-1250",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "119152270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Evan Bacelieri, MD
• Back in Action Orthopaedic Physical Therapy LLC (Rehabilitation Associates)
• Back in Balance, PA
• Back in Balance, PA
• Back Pain Clinic II, P.a.
• Derek Hayden Backer, M.D.
• Caitlin Michelle Bacon, FNP
• Bruce Kenneth Bacot, M.D.
• Sarah W Baddorf, MD
• Colleen Bader, OTR/L

• Physical Therapy Clinic/Center in Asheville, NC
• Providers in Asheville, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.