Back in Motion Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 14415 Issued in CA

Legal business name

BACK IN MOTION PHYSICAL THERAPY

Practice address

3200 Sierra St
Suite a
Riverbank, CA 95367-2439

Phone

(209) 869-0585

Fax

(209) 869-0586

NPI assigned

Jun 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Kathryn O'Brien, P.T.

Title

Physical Therapist

Phone

(209) 869-0585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1275795403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953671475",
            "telephone_number": "209-869-0585",
            "fax_number": "209-869-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SIERRA ST",
            "address_2": "SUITE A",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672439",
            "telephone_number": "209-869-0585",
            "fax_number": "209-869-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-869-0585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilianna Avalos
• Karla Daniela Avendano Machuca
• Yvonne Avila
• Jennifer Caroline Ayala Ledesma
• Paul Azevedo Jr.
• Marilyn Macdonald Backlund, PHN/RN
• Susana Baez Lopez
• Adrienne Baggie
• Linda Bahena Mejia
• Zhongze Bai

• Physical Therapy Clinic/Center in Riverbank, CA
• Providers in Riverbank, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; 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.