Organization Active NPI

Back to Me: Physical Therapy & Coaching LLC

  • Orthopedic Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1093580458
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BACK TO ME: PHYSICAL THERAPY & COACHING LLC
Practice address
8599 A C Skinner Pkwy Unit 5215
Jacksonville, FL 32256-0863
Phone
(717) 307-5029
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Kathryn MontgomeryNPI 1326636242
Title
Ceo
Phone
(717) 307-5029

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

8599 A C Skinner Pkwy Unit 5215
Jacksonville, FL 32256-0863

Mailing address

8599 A C Skinner Pkwy Unit 5215
Jacksonville, FL 32256-0863

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1093580458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 A C SKINNER PKWY UNIT 5215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 A C SKINNER PKWY UNIT 5215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560863",
            "telephone_number": "717-307-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ME: PHYSICAL THERAPY & COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-307-5029"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.