The Center for Total Back Care, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AZ5619 Issued in AZ

Legal business name

THE CENTER FOR TOTAL BACK CARE, PLC

Practice address

2220 S Country Club Dr
Suite 102
Mesa, AZ 85210-6808

Phone

(480) 633-8293

Fax

(480) 926-1564

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. B. Jeffrey Jolley, D.C.NPI 1255470753

Title

Partner

Phone

(480) 633-8293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

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

• B Jeffrey Jolley, D.C.

  • Neurology Chiropractor
  • Mesa, AZ
  • NPI 1255470753
  Medicare reassignment NPD Authorized official
• Michael Lee McKown, P.T.

  • Physical Therapist
  • Tempe, AZ
  • NPI 1073656435
  Medicare reassignment
• Mark A. Corbin, N.M.D.,D.C.

  • Chiropractor
  • Yuma, AZ
  • NPI 1275770919
  NPD (past)
• Chance Moore, D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1134210750
  NPD (past)
• Michael Calvin Webster, PT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1457368508
  NPD (past)
• Robert H. Odell Jr., M.D., PH.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1013957026
  NPD (past)
• Melanie Juneq Wood, PA

  • Medical Physician Assistant
  • Ft Lewis, WA
  • NPI 1588659874
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1194850263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S COUNTRY CLUB DR",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106808",
            "telephone_number": "480-633-8293",
            "fax_number": "480-926-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S COUNTRY CLUB DR",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106808",
            "telephone_number": "480-633-8293",
            "fax_number": "480-926-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR TOTAL BACK CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-633-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "AZ5619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tharp Enterprises, L.L.C.
• Sarah Marie Tharrington, DPT
• Brant Thayer, MD
• The Bridge Group of Arizona, LLC
• The Cashwell Center Inc
• The Chandrasi Eye Group, LLC
• The Desert Sports Medicine and Shoulder Clinic LLC
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• The Eye Concern Inc

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.