Back on Track Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

020636 Issued in NY

Legal business name

BACK ON TRACK PHYSICAL THERAPY PLLC

Practice address

472 Montauk Hwy
Unit #2
East Quogue, NY 11942-3930

Phone

(631) 766-1991

Fax

(631) 728-7029

NPI assigned

Dec 4, 2012

Organization subpart

No

Name

Mr. Jason Joseph Weeks, P.T.NPI 1114018736

Title

Owner/ Physical Therapist

Phone

(631) 766-1991

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

• Jason Joseph Weeks, PT

  • Physical Therapist
  • West Babylon, NY
  • NPI 1114018736
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2012.

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1366787145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEECHNUT CT",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119424710",
            "telephone_number": "631-766-1991",
            "fax_number": "631-728-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 MONTAUK HWY",
            "address_2": "UNIT #2",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119423930",
            "telephone_number": "631-766-1991",
            "fax_number": "631-728-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-766-1991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ade, RPH
• Maureen Frances Barron, LICENSED PRACTICAL N
• Barths of East Quogue Inc.
• Brian Gordon & Associates, Inc.
• Lucille Buergers, LCSW
• Sharon Marie Celi, LPN

• All providers in East Quogue, NY
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.