Back to Self LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BACK TO SELF LLC

Practice address

1300 Luisa St Ste 21
Santa Fe, NM 87505-4177

Phone

(505) 603-6063

NPI assigned

Jan 22, 2022

Last updated

Jan 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teo Clairmont Biele, LMTNPI 1730831512

Title

Licensed Massage Therapist/Owner

Phone

(505) 603-6063

Specialties & licenses 1

Addresses

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.

• Teo Clairmont Biele, LMT

  • Massage Therapist
  • Santa Fe, NM
  • NPI 1730831512
  NPD Authorized official

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1457003238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 21",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-603-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 21",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-603-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO SELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "BIELE",
        "authorized_official_first_name": "TEO",
        "authorized_official_middle_name": "CLAIRMONT",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "505-603-6063",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou Baca
• Nancy Baca
• Robert O Bachicha, PT
• Back in Action Chiropractic, P.C.
• Back to Health Wellness Center. Inc
• Elsa Backstrom, M.A LPCC
• John Bacon
• Laura Lee Bacon, P.T.
• William T Bacon IV, PA-C
• Ryan B Baer, M.D.

• Physical Therapy Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.