NPIMap

Organization Active NPI

Back in Action Physical Therapy, P.C.

  • Specialist
  • Greeley, CO
National Provider Identifier
1386783827
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6372 Issued in CO
Legal business name
BACK IN ACTION PHYSICAL THERAPY, P.C.
Practice address
3624 W 10TH St
Greeley, CO 80634-1821
Phone
(970) 353-2101
Fax
(970) 353-0754
NPI assigned
Feb 5, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Nicole R SoleckiNPI 1700847647
Title
Manager
Phone
(970) 353-2101

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 6372 CO Primary

Addresses

Primary practice location

3624 W 10TH St
Greeley, CO 80634-1821

Mailing address

3624 W 10TH St
Greeley, CO 80634-1821
Phone (970) 353-2101

National Provider Directory

National Provider Directory

Locations

3624 W 10th St
Greeley, CO 80634
Phone (970) 353-2101

Practitioners & affiliated clinicians

Practitioners 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1386783827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341821",
            "telephone_number": "970-353-2101",
            "fax_number": "970-353-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341821",
            "telephone_number": "970-353-2101",
            "fax_number": "970-353-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SOLECKI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-353-2101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.