Back in Action Physical Therapy & Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BACK IN ACTION PHYSICAL THERAPY & PERFORMANCE LLC

Practice address

1806 Russell Pkwy Ste 1400
Warner Robins, GA 31088-5781

Phone

(478) 235-4441

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Frank Jackson Jr., PT, DPTNPI 1114441375

Title

Owner

Phone

(478) 235-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael Frank Jackson Jr., DPT

  • Physical Therapist
  • Warner Robins, GA
  • NPI 1114441375
  NPD Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1386240364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PARTRIDGE TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886592",
            "telephone_number": "478-235-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 RUSSELL PKWY STE 1400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885781",
            "telephone_number": "478-235-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION PHYSICAL THERAPY & PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-235-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114441375",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salina T Baaith, LPC
• Olusanmi J Babatola, MD
• Rhonda Louise Babbert, NP
• Brandi Nicole Babbitt, DC
• Paula Babcock
• Badia Medical, LLC
• Kevin J. Baggett, D.O.
• Sidney M Baggett, DMD
• Fayanna Bain, RBT
• Adrian L. Baker, D.P.T

• Physical Therapy Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.