Back to You Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK TO YOU WELLNESS, LLC

Practice address

3000 SW Port St Lucie Blvd Ste 3002
Port St Lucie, FL 34953-3218

Phone

(248) 891-5491

NPI assigned

Jul 17, 2022

Last updated

Jul 17, 2022By 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

John Putnam, DPTNPI 1992093850

Title

Partner

Phone

(248) 891-5491

Specialties & licenses 2

Addresses

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.

• John Putnam, PT, DPT

  • Physical Therapist
  • Royal Oak, MI
  • NPI 1992093850
  NPD (past) Authorized official

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1306571161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN WRIGHT BLVD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621584",
            "telephone_number": "248-891-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW PORT ST LUCIE BLVD STE 3002",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533218",
            "telephone_number": "248-891-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO YOU WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-891-5491",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc-Alain Babi, M.D
• Kareena Annupa Bachan, CCC-SLP
• Nikola Backiel, MS, RDN, LDN, CLC
• Bethany Lynn Badder
• Jonise Badeau Cius
• David Baggett, DO
• Arghavan Bahramnejad, DMD

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.