NPIMap

Organization Active NPI

Back in Action P a

  • Physical Therapy Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1356588859
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT0002416 Issued in FL
Legal business name
BACK IN ACTION P A
Practice address
1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448
Phone
(954) 480-2900
Fax
(954) 480-6569
NPI assigned
Jan 21, 2009
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Jeffrey Ross Davis, R.P.T.
Title
President
Phone
(954) 480-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0002416 FL Primary

Addresses

Primary practice location

1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448

Mailing address

1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448
Phone (954) 480-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1356588859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 W HILLSBORO BLVD STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421448",
            "telephone_number": "954-480-2900",
            "fax_number": "954-480-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W HILLSBORO BLVD STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421448",
            "telephone_number": "954-480-2900",
            "fax_number": "954-480-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-480-2900",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT0002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.