Back in Action Physical Therapy and Fitness Center,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015991L Issued in PA

Legal business name

BACK IN ACTION PHYSICAL THERAPY AND FITNESS CENTER,LLC

Practice address

Building II, Route 220
Tipton Medical & Diagnostic Center
Tipton, PA 16684

Phone

(814) 684-0702

Fax

(814) 684-0426

NPI assigned

Feb 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynnette K Latchford, DPT

Title

Owner

Phone

(814) 684-0702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1083882450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 EISENHOWER BLVD",
            "address_2": "SUITE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-684-0702",
            "fax_number": "814-684-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING II, ROUTE 220",
            "address_2": "TIPTON MEDICAL & DIAGNOSTIC CENTER",
            "city": "TIPTON",
            "state": "PA",
            "postal_code": "16684",
            "telephone_number": "814-684-0702",
            "fax_number": "814-684-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION PHYSICAL THERAPY AND FITNESS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "LATCHFORD",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-684-0702",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015991L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT015991L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Batrus, PA
• Kathy Joann Moyer, P.A.
• Novacare Outpatient Rehabilitation East Inc (NovaCare Rehabilitation)
• Peck Group Inc. (Tipton Pharmacy)
• Charles Curtis Peck, R.PH.

• Physical Therapist in Tipton, PA
• Providers in Tipton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.