Organization Active NPI

Back to Function Rehab and Wellness

  • Physical Therapy Clinic/Center
  • Ft Worth, TX
National Provider Identifier
1467223222
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK TO FUNCTION REHAB AND WELLNESS
Practice address
711 E Arlington Ave
Ft Worth, TX 76104-5017
Phone
(817) 623-4803
Fax
(855) 509-1183
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Nicholas Sterling, DPTNPI 1689211229
Title
Physical Therapist, Ceo
Phone
(817) 623-4803

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

711 E Arlington Ave
Ft Worth, TX 76104-5017

Mailing address

4401 Thousand Oaks Dr
Arlington, TX 76017-1332
Phone (817) 623-4803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425000368 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870019573 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

4304 SW Green Oaks Blvd
Ste 150
Arlington, TX 76017
Phone (817) 583-8266

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1467223222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 THOUSAND OAKS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171332",
            "telephone_number": "817-623-4803",
            "fax_number": "855-509-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ARLINGTON AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761045017",
            "telephone_number": "817-623-4803",
            "fax_number": "855-509-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO FUNCTION REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, CEO",
        "authorized_official_telephone_number": "817-623-4803",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.