Back in Motion Physical Therapy & Sports Medicine, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10028024 Issued in WI

Legal business name

BACK IN MOTION PHYSICAL THERAPY & SPORTS MEDICINE, INC

Practice address

4722 Farwell St
McFarland, WI 53558-9412

Phone

(608) 838-7232

Fax

(608) 838-7405

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian M Doolan, DPTNPI 1699756437

Title

Owner

Phone

(608) 838-7232

Specialties & licenses 1

Addresses

Other names 1

• Back In Motion Physical Therapy & Sports Medicine, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Brian M Doolan, DPT

  • Physical Therapist
  • McFarland, WI
  • NPI 1699756437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1295744894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 FARWELL ST",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589412",
            "telephone_number": "608-838-7232",
            "fax_number": "608-838-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 FARWELL ST",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589412",
            "telephone_number": "608-838-7232",
            "fax_number": "608-838-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "DOOLAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-838-7232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "10028024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Motion Physical Therapy & Sports Medicine, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Adler
• Lauren Arango
• Marcy Jo Basche, M.A., CCC-SLP
• Stacy S Bell
• Brittany Boomgarden, DDS
• Kevin Brellenthin, LMT
• Brody W Brisk, MD

• Physical Therapy Clinic/Center in McFarland, WI
• Providers in McFarland, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.