Organization Active NPI

Back to Action Physical Therapy Center LLC

  • Physical Therapy Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1194915462
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK TO ACTION PHYSICAL THERAPY CENTER LLC
Practice address
3921 Jackson Rd
Ann Arbor, MI 48103-1823
Phone
(734) 665-1626
Fax
(734) 665-2414
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Renee A Kirbs, PTNPI 1144330838
Title
Administrator
Phone
(764) 665-1626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MI Primary

Addresses

Primary practice location

3921 Jackson Rd
Ann Arbor, MI 48103-1823

Mailing address

3921 Jackson Rd
Ann Arbor, MI 48103-1823
Phone (734) 665-1626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1194915462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031823",
            "telephone_number": "734-665-1626",
            "fax_number": "734-665-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031823",
            "telephone_number": "734-665-1626",
            "fax_number": "734-665-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ACTION PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "KIRBS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "764-665-1626",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.