Back to Life Rehab, Inc.
Organization Active NPI Physical Therapist · Forest, VA
NPI 1164571204 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164571204
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305006244 (VA)
- Legal business name
- BACK TO LIFE REHAB, INC.
- Practice address
- 110 Vista Centre Dr
Suite 8
Forest, VA 24551-2600 - Phone
- (434) 385-4900
- Fax
- (434) 385-7100
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Richman, MPT
- Title
- President
- Phone
- (434) 385-4900
Practitioners 1
-
Brian Ian Richman, MPT
National Provider Directory
Locations
110 Vista Centre Dr
Ste 8
Forest, VA 24551
Phone (434) 385-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2305006244 | VA | Yes |
Addresses
Primary practice location
110 Vista Centre Dr
Suite 8
Forest, VA 24551-2600
Mailing address
103 Mullbury PL
Lynchburg, VA 24502-5820
Phone (434) 385-4900
Other providers in Forest, VA
- Kevin David Arp
- Pius Asamoah
- Ato & M Ventures LLC
- Brittany Atwell
- Amanda L Austin
- Sierra Spain Bailey
- Erin Baird
- Mythili Balasubramaniyan
- Bosede Balogun
- Amanda Marie Barb
All providers in Forest, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.