Active NPI
Back to Basics Family Physical Therapy PC
- Physical Medicine & Rehabilitation Physician
- Roanoke, VA
National Provider Identifier
1417998329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2305004995
- Legal business name
- BACK TO BASICS FAMILY PHYSICAL THERAPY PC
- Practice address
- 7768 Williamson Rd
Roanoke, VA 24019-4343 - Phone
- (540) 985-0500
- Fax
- (540) 985-0529
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey M Ford
- Title
- Business Manager
- Phone
- (540) 985-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2305004995 | VA | Primary |
Addresses
Primary practice location
7768 Williamson Rd
Roanoke, VA 24019-4343
Mailing address
7768 Williamson Rd
Roanoke, VA 24019-4343
Phone (540) 985-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7768 Williamson Rd
Roanoke, VA 24019
Phone (540) 985-0500
1015 1st St SW
Ste 2
Roanoke, VA 24016
Phone (540) 985-0500
Interoperability endpoints
- https://api.platform.athenahealth.com/16094/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Roanoke, VA
- NPI 1609899707
-
- Physical Therapist
- Roanoke, VA
- NPI 1720281892
-
- Nurse Practitioner
- Hollins, VA
- NPI 1134711971
-
- Massage Therapist
- Roanoke, VA
- NPI 1871125450
-
- Physical Therapist
- Roanoke, VA
- NPI 1467897397
-
- Physical Therapist
- Roanoke, VA
- NPI 1598961856
-
- Physical Therapist
- Roanoke, VA
- NPI 1407846488
-
- Massage Therapist
- Roanoke, VA
- NPI 1326440363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1417998329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7768 WILLIAMSON RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194343",
"telephone_number": "540-985-0500",
"fax_number": "540-985-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7768 WILLIAMSON RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194343",
"telephone_number": "540-985-0500",
"fax_number": "540-985-0529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO BASICS FAMILY PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "540-985-0500"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2305004995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.