NPIMap

Organization Active NPI

Back in Motion P.a.

Doing business as Back in Motion Injury and Wellness center

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1386138642
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11232 Issued in FL
Legal business name
BACK IN MOTION P.A.
Doing business as
Back in Motion Injury and Wellness center
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
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Dr. Colby Caltrider, DCNPI 1588046262
Title
Owner
Phone
(904) 514-4483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH11232 FL Primary

Addresses

Primary practice location

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

Mailing address

225 Hopkins St Apt a
Neptune Beach, FL 32266-4890
Phone (904) 514-4483

Other practice location 1

309 Kingsley Lake Dr Ste 901
St Augustine, FL 32092-3048
Phone (904) 514-4483

Other names 1

  • Back in Motion Injury and Wellness center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • 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.