Back to Life Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006244 Issued in 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

Last updated

Aug 22, 2020By 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

Mr. Brian Richman, MPTNPI 1811927817

Title

President

Phone

(434) 385-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Ian Richman, MPT

  • Physical Therapist
  • Forest, VA
  • NPI 1811927817
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164571204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MULLBURY PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025820",
            "telephone_number": "434-385-4900",
            "fax_number": "434-385-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VISTA CENTRE DR",
            "address_2": "SUITE 8",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512600",
            "telephone_number": "434-385-4900",
            "fax_number": "434-385-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-385-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin David Arp, PA-C
• Pius Asamoah
• Ato & M Ventures LLC
• Brittany Atwell
• Amanda L Austin, LPC
• Sierra Spain Bailey, FNP-BC, DNP
• Erin Baird, CNM
• Mythili Balasubramaniyan, P.T
• Bosede Balogun, LPC
• Jason Banks

• Physical Therapist in Forest, VA
• Providers in Forest, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.