Organization Active NPI

Back on Course LLC

  • Occupational Therapist
  • Wallingford, CT
National Provider Identifier
1245338946
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BACK ON COURSE LLC
Practice address
29 N Plains Hwy
Wallingford, CT 06492
Phone
(203) 949-1890
Fax
(203) 949-1891
NPI assigned
Sep 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Maureen Melleky, RPTNPI 1144216623
Title
Owner PT
Phone
(203) 949-1890

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
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

29 N Plains Hwy
Wallingford, CT 06492

Mailing address

Pob 4131
Yalesville, CT 06492
Phone (203) 284-1340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000218 CT Part B Supplier - Clinic/Group Practice 0244281251 Receives reassigned benefits from 3 practitioners
Practice locations: Durham, CT

National Provider Directory

National Provider Directory

Locations

45 Ozick Dr
#R
Durham, CT 06422
Phone (203) 215-1432

45R Ozick Dr
#9
Durham, CT 06422

29 N Plains Industrial Hwy
Wallingford, CT 06492
Phone (203) 949-1890

29 N Plains Rd
Wallingford, CT 06492
Phone (203) 774-5910

Practitioners & affiliated clinicians

Practitioners 5

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245338946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 4131",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-284-1340",
            "fax_number": "203-265-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N PLAINS HWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-949-1890",
            "fax_number": "203-949-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON COURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MELLEKY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "203-949-1890",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.