Back to Action Physical Therapy LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

BACK TO ACTION PHYSICAL THERAPY LLC

Practice address

9 Harbor Front CT
Elizabeth, NJ 07206-1951

Phone

(718) 509-9888

Fax

(718) 509-6144

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Ralph Waldo T Cuartero, PT

Title

Owner

Phone

(347) 701-6228

Specialties & licenses 2

Addresses

Other names 1

• Redcore Physical Therapy And Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Ralph Waldo Cuartero, PT

  • Physical Therapist
  • Elmwood Park, NJ
  • NPI 1265566103
  Medicare reassignment Care Compare group
• Windy Tagalog Tubalado

  • Physical Therapist
  • Great Neck, NY
  • NPI 1639599525

  NJ

  Medicare reassignment Care Compare group
• Amerigo Abonitalla, P.T.

  • Physical Therapist
  • Whitehouse Station, NJ
  • NPI 1780817213
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1154063154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HARBOR FRONT CT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061951",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HARBOR FRONT CT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061951",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ACTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CUARTERO",
        "authorized_official_first_name": "RALPH WALDO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-701-6228",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redcore Physical Therapy And Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Authentic Physical Therapy LLC
• Dialix Aviles
• Karpukarasi Ayyanathan, M.D.
• Christina Teresa Azoia, PA-C
• B & K Family Dental, LLC
• Back to Motion Physical Therapy & Rehabilitation Inc
• Back to Wellness Physical Therapy
• Chaya Back
• Linda C Bacon
• Trisha Badishian, LCSW

• Rehabilitation Practitioner in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Rehabilitation Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.