Back to Life Therapy & Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK TO LIFE THERAPY & REHAB LLC

Practice address

21421 Goddard Rd
Taylor, MI 48180-4247

Phone

(313) 207-7036

NPI assigned

Jul 31, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Hashem

Title

Owner

Phone

(313) 207-7036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, and the practitioner matching its NPPES authorized official.

• Gurbahar Singh Sidhu

  • Physical Therapist
  • Macomb, MI
  • NPI 1619530557
  Medicare reassignment NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1306527452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21421 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804247",
            "telephone_number": "313-207-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21421 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804247",
            "telephone_number": "313-207-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE THERAPY & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "HASHEM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-207-7036"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayd Visiting Physicians PLC
• Ayesha M. Taj DO PC
• Siham Azom
• Babiano M. S. Kim, M. D., P.C. (N/a)
• Back on Track Medical Equipment LLC
• Cass Jaye Bader, DC
• David W Bailey, DDS
• Stephanie Baker
• Gaiti Ara Bakhsh, D.O.
• Daksha K. Bakshi, M.D.

• Physical Therapist in Taylor, MI
• Providers in Taylor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.