NPIMap

Organization Active NPI

Back to You Rehab PLLC

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1386124378
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK TO YOU REHAB PLLC
Practice address
2512 Rochester Rd
Royal Oak, MI 48073-3635
Phone
(248) 733-4325
Fax
(248) 268-7979
NPI assigned
Aug 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Laurie PutnamNPI 1083113369
Title
Manager
Phone
(810) 923-1047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2512 Rochester Rd
Royal Oak, MI 48073-3635

Mailing address

2512 Rochester Rd
Royal Oak, MI 48073-3635
Phone (248) 733-4325

Other practice location 1

39933 Ford Rd
Canton, MI 48187-4400
Phone (248) 733-4325

Other practice location 2

21316 Mack Ave
Grosse Pointe Woods, MI 48236-1047
Phone (248) 733-4325

Other names 2

  • Back to You Osteopractic Physical Therapy Doing business as
  • Back to You Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@backtoyourehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130001199 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365789203 Receives reassigned benefits from 14 practitioners
Practice locations: Canton, MI; Saint Clair Shores, MI; Royal Oak, MI; Grosse Pointe Woods, MI

National Provider Directory

National Provider Directory

Locations

44125 Ford Rd
Canton, MI 48187
Phone (248) 891-5491

20710 Hall Rd
Clinton Township, MI 48038
Phone (248) 733-4325

2300 Austins Pkwy
Ste 300
Flint, MI 48507
Phone (248) 733-4325

21316 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (248) 733-4325

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1386124378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733635",
            "telephone_number": "248-733-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733635",
            "telephone_number": "248-733-4325",
            "fax_number": "248-268-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39933 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481874400",
            "country_code": "US",
            "telephone_number": "248-733-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21316 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482361047",
            "country_code": "US",
            "telephone_number": "248-733-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK TO YOU REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-923-1047"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@backtoyourehab.com",
            "affiliation": "N",
            "address_1": "2512 Rochester Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480733635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Back to You Osteopractic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back to You Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.