Organization Active NPI

Back 2 Life Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Davie, FL
National Provider Identifier
1336054212
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK 2 LIFE PHYSICAL THERAPY & WELLNESS LLC
Practice address
4465 Griffin Rd Apt 413
Davie, FL 33314-4708
Phone
(551) 804-9572
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Dr. Sergio Mejia, PT, DPT
Title
Doctor of Physical Therapy
Phone
(551) 804-9572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4465 Griffin Rd Apt 413
Davie, FL 33314-4708

Mailing address

4465 Griffin Rd Apt 413
Davie, FL 33314-4708
Phone (551) 804-9572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1336054212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 GRIFFIN RD APT 413",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144708",
            "telephone_number": "551-804-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 GRIFFIN RD APT 413",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144708",
            "telephone_number": "551-804-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 LIFE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "551-804-9572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.