Back in Action Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9388 Issued in CO

Legal business name

BACK IN ACTION PHYSICAL THERAPY, LLC

Practice address

28577 Buffalo Park Rd Ste 205
Evergreen, CO 80439-7306

Phone

(720) 900-3801

Fax

(720) 835-0056

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Dana Amundson, PTNPI 1275610933

Title

Owner, PT

Phone

(303) 514-8643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

• Dana Amundson, PT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1275610933

  CO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1124562848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804370848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28577 BUFFALO PARK RD STE 205",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397306",
            "telephone_number": "720-900-3801",
            "fax_number": "720-835-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "303-514-8643",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Atkinson
• Atlas Physical Therapy Limited Partnership
• Augustana Elk Run Assisted Living LLC
• Awake Mindful Therapy
• Bruce Ayers, LAC,CRT
• Harry Manfred Walden Banek, BSC CMT
• Glenn Barnett, D.C.
• Kim Ellen Bartlett, DIPL. OF ACUPUNCTURE
• Julia Bartolo, M.S., C.A.G.S.
• Kyndra Rose Basham, OT

• All providers in Evergreen, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.