NPIMap

Organization Active NPI

Back in Action

  • Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1083778682
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PT4144 Issued in FL
Legal business name
BACK IN ACTION
Practice address
4022 N Ocean Blvd
Ft Lauderdale, FL 33308
Phone
(954) 567-2617
Fax
(954) 567-2819
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mrs. Lydia T. Bradley, RPT
Title
Director Physical Therapy
Phone
(954) 567-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PT4144 FL Primary

Addresses

Primary practice location

4022 N Ocean Blvd
Ft Lauderdale, FL 33308

Mailing address

4022 N Ocean Blvd
Ft Lauderdale, FL 33308
Phone (954) 567-2617

National Provider Directory

National Provider Directory
Tax ID family
Back in Action6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1083778682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-567-2617",
            "fax_number": "954-567-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-567-2617",
            "fax_number": "954-567-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR PHYSICAL THERAPY",
        "authorized_official_telephone_number": "954-567-2617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PT4144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.