NPIMap

Organization Active NPI

Backways Physical Therapy, PLLC

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1417906025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACKWAYS PHYSICAL THERAPY, PLLC
Practice address
250 S McCormick St
Prescott, AZ 86303-4714
Phone
(928) 777-8050
Fax
(928) 443-9029
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruth S Backway, PTNPI 1811946502
Title
Owner
Phone
(928) 777-8050

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
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

250 S McCormick St
Prescott, AZ 86303-4714

Mailing address

250 S McCormick St
Prescott, AZ 86303-4714
Phone (928) 777-8050

Other identifiers 2

IdentifierTypeStateIssuer
0187237OtherAZUS DEPARTMENT OF LABOR
AZ 0462680OtherAZBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000492 AZ Part B Supplier - Clinic/Group Practice 6709856917 Receives reassigned benefits from 11 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1680 W Iron Springs Rd
Ste 101
Prescott, AZ 86305
Phone (520) 369-3885

Practitioners & affiliated clinicians

Practitioners 11

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417906025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S MCCORMICK ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034714",
            "telephone_number": "928-777-8050",
            "fax_number": "928-443-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S MCCORMICK ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034714",
            "telephone_number": "928-777-8050",
            "fax_number": "928-443-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKWAYS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACKWAY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-777-8050",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "0187237",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ 0462680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.