Back2Health

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK2HEALTH

Practice address

15 Columbia Rd
#9
Pembroke, MA 02359-1841

Phone

(781) 829-0800

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Adam Reid

Title

Owner

Phone

(781) 829-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1376730085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLUMBIA RD",
            "address_2": "#9",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591841",
            "telephone_number": "781-829-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLUMBIA RD",
            "address_2": "#9",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591841",
            "telephone_number": "781-829-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK2HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-829-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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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• Physical Therapist in Pembroke, MA
• Providers in Pembroke, 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 18, 2013; 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.