Organization Active NPI

Back in Motion Chiropractic, Inc.

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1205913365
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2528 Issued in NC
Legal business name
BACK IN MOTION CHIROPRACTIC, INC.
Practice address
6303 Oleander Dr
Suite #102-a
Wilmington, NC 28403-3590
Phone
(910) 313-1322
Fax
(910) 313-1323
NPI assigned
Nov 1, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Gina Dawn Policari, DCNPI 1740292267
Title
President
Phone
(910) 313-1322

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2528 NC Primary
Chiropractor 111N00000X 2531 NC

Addresses

Primary practice location

6303 Oleander Dr
Suite #102-a
Wilmington, NC 28403-3590

Mailing address

6303 Oleander Dr
Suite #102-a
Wilmington, NC 28403-3590
Phone (910) 313-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000435 NC Part B Supplier - Clinic/Group Practice 8325006638 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1205913365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 OLEANDER DR",
            "address_2": "SUITE #102-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033590",
            "telephone_number": "910-313-1322",
            "fax_number": "910-313-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OLEANDER DR",
            "address_2": "SUITE #102-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033590",
            "telephone_number": "910-313-1322",
            "fax_number": "910-313-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "POLICARI",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-313-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2528",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.