NPIMap

Organization Active NPI

Back to Motion Physical Therapy PC

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1487873121
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4054 Issued in CO
Legal business name
BACK TO MOTION PHYSICAL THERAPY PC
Practice address
600 N Grant St Ste 208
Denver, CO 80203-3527
Phone
(303) 832-5577
Fax
(303) 996-0390
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Michael Emmons House, PTNPI 1386722213
Title
Owner
Phone
(303) 832-5577

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4054 CO Primary

Addresses

Primary practice location

600 N Grant St Ste 208
Denver, CO 80203-3527

Mailing address

600 N Grant St Ste 208
Denver, CO 80203-3527
Phone (303) 832-5577

Other names 1

  • Patty Pennel MSPT Inc Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@backtomotion.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000304 CO Part B Supplier - Clinic/Group Practice 5193710671 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Denver, CO; Wheat Ridge, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Back to Motion Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

616 N Washington St
Ste 100
Denver, CO 80203
Phone (303) 832-5577

7821 W 38th Ave
Ste 101
Wheat Ridge, CO 80033
Phone (303) 330-0010

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1487873121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GRANT ST STE 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033527",
            "telephone_number": "303-832-5577",
            "fax_number": "303-996-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRANT ST STE 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033527",
            "telephone_number": "303-832-5577",
            "fax_number": "303-996-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EMMONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-832-5577",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@backtomotion.net",
            "affiliation": "N",
            "endpointDescription": "front desk email accessed by two people",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 N Grant St Ste 208",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802033527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Patty Pennel MSPT Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Patty Pennel MSPT Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.