Organization Active NPI

Backtofitness

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1205973559
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACKTOFITNESS
Practice address
744 San Antonio Rd Ste 3
Palo Alto, CA 94303
Phone
(650) 494-0991
Fax
(650) 494-0129
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Ms. Nancy Chan, P.T.
Title
Director
Phone
(650) 494-0991

Specialties & licenses 1

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

Addresses

Primary practice location

744 San Antonio Rd Ste 3
Palo Alto, CA 94303

Mailing address

744 San Antonio Rd Ste 3
Palo Alto, CA 94303-4624
Phone (650) 494-0991

National Provider Directory

National Provider Directory

Locations

744 San Antonio Rd
Ste 3
Palo Alto, CA 94303
Phone (650) 494-0991

3906 Middlefield Rd
Palo Alto, CA 94303
Phone (650) 494-0991

Practitioners & affiliated clinicians

Practitioners 5

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1205973559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SAN ANTONIO RD STE 3",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034624",
            "telephone_number": "650-494-0991",
            "fax_number": "650-494-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SAN ANTONIO RD STE 3",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-494-0991",
            "fax_number": "650-494-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKTOFITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-494-0991",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.