The Back Clinic, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE BACK CLINIC, INC.

Practice address

5550 Kirkwood Hwy
Wilmington, DE 19808-5002

Phone

(302) 995-2100

Fax

(302) 998-3104

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mellissa Higgins, DPTNPI 1154619039

Title

Owner/Director

Phone

(302) 995-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 9

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

• Mellissa Higgins, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1154619039
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Kathryn Monaco, DPT, OCS

  • Physical Therapist
  • Wilmington, DE
  • NPI 1740955285
  Medicare reassignment Care Compare group NPD
• Ryan Michael Ward, PT, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1437970266
  Medicare reassignment Care Compare group NPD
• Pratiksha Bothara

  • Physical Therapist
  • Bear, DE
  • NPI 1497235402
  Medicare reassignment NPD
• Elizabeth Marie Jetter, PT, DPT, MS

  • Physical Therapist
  • Wilmington, DE
  • NPI 1073220240
  NPD
• Jennifer Lynn Briggs, PT

  • Physical Therapist
  • Newark, DE
  • NPI 1710993423
  NPD (past)
• Valerie Joyce Falcioni, P.T.A.

  • Physical Therapy Assistant
  • Wilmington, DE
  • NPI 1265443659
  NPD (past)
• Carole Ann Jennings, P.T.A

  • Physical Therapy Assistant
  • Wilmington, DE
  • NPI 1588691000
  NPD (past)
• Nancy G. Lagowski, P.T.A.

  • Physical Therapy Assistant
  • Wilmington, DE
  • NPI 1689784662
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1275513368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085002",
            "telephone_number": "302-995-2100",
            "fax_number": "302-998-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085002",
            "telephone_number": "302-995-2100",
            "fax_number": "302-998-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACK CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "302-995-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000928226",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapy Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.