Back on Track, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK ON TRACK, P.C.

Practice address

1180 Beacon St
Suite 6-C
Brookline, MA 02446-3838

Phone

(617) 730-5337

Fax

(617) 730-5461

NPI assigned

May 11, 2006

Last updated

Apr 20, 2012By 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

Mr. Henry Sisun, PTNPI 1235110073

Title

President/Owner

Phone

(617) 730-5337

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Henry Sisun, M.S.P.T.

  • Physical Therapist
  • Cranston, RI
  • NPI 1235110073
  Authorized official Same address or phone
• Matthew Lee

  • Physical Therapist
  • Newton, MA
  • NPI 1245887207
  NPD
• Elizabeth Corcoran

  • Physical Therapist
  • Randolph, MA
  • NPI 1003356676
  NPD (past)
• Brenda Larrivee, MSPT

  • Physical Therapist
  • Cranston, RI
  • NPI 1245282805
  NPD (past)
• Kristi H Roland, DPT

  • Orthopedic Physical Therapist
  • Madison, TN
  • NPI 1164498382
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1376593368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104430",
            "telephone_number": "401-946-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 6-C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463838",
            "telephone_number": "617-730-5337",
            "fax_number": "617-730-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SISUN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-730-5337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP #",
            "identifier": "Y65633",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleh Azar
• Emily Bachmann
• Sharon Sara Bacigalupi, MPH, LIC.AC.
• Back Bay Allergy Associates LLC
• Back on Track, P.C.
• George Badlissi
• Ali Bahadori, MD
• Moogeh Baharnoori, MD, PHD
• Kristine Bahr, MNT
• Theresia M Bajusz, MD

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.