NPIMap

Organization Active NPI

Back in Balance Massage and Wellness LLC

  • Massage Therapist
  • Fort Wayne, IN
National Provider Identifier
1265833255
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BACK IN BALANCE MASSAGE AND WELLNESS LLC
Practice address
10340 Coldwater Rd
Fort Wayne, IN 46825-2033
Phone
(260) 755-3866
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Mettco SabicNPI 1669020194
Title
Owner
Phone
(206) 755-3866

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

10340 Coldwater Rd
Fort Wayne, IN 46825-2033

Mailing address

10340 Coldwater Rd
Fort Wayne, IN 46825-2033
Phone (260) 755-3866

National Provider Directory

National Provider Directory

Locations

10340 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 755-3866

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1265833255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252033",
            "telephone_number": "260-755-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252033",
            "telephone_number": "260-755-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE MASSAGE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "SABIC",
        "authorized_official_first_name": "METTCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-755-3866"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.