Back in Motion P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11232 Issued in FL

Legal business name

BACK IN MOTION P.A.

Practice address

309 Kingsley Lake Dr Ste 901
St Augustine, FL 32092-3048

Phone

(904) 514-4483

Fax

(904) 325-9049

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Colby Caltrider, DC

Title

Owner

Phone

(904) 514-4483

Specialties & licenses 1

Addresses

Other names 1

• Back in Motion Injury and Wellness center Doing business as

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1386138642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOPKINS ST APT A",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322664890",
            "telephone_number": "904-514-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR STE 901",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923048",
            "telephone_number": "904-514-4483",
            "fax_number": "904-325-9049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Kingsley Lake Dr Ste 901",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923048",
            "country_code": "US",
            "telephone_number": "904-514-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK IN MOTION P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CALTRIDER",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-514-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Motion Injury and Wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.