Back in the Game Wellness Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BACK IN THE GAME WELLNESS PHYSICAL THERAPY, PLLC

Practice address

575 Lexington Ave FL 4
New York, NY 10022-6146

Phone

(646) 286-7140

NPI assigned

Sep 13, 2017

Last updated

Mar 31, 2021By 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

Monica JoshiNPI 1851510192

Title

Owner

Phone

(646) 286-7140

Specialties & licenses 2

Addresses

Electronic endpoints 3

Practitioners 2

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.

• Monica Joshi

  • Physical Therapist
  • New York, NY
  • NPI 1851510192
  NPD Authorized official
• Shiri-Lee Uriel, PT,DPT

  • Physical Therapist
  • New York, NY
  • NPI 1679877294
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1518486257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226146",
            "telephone_number": "646-286-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226146",
            "telephone_number": "646-286-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN THE GAME WELLNESS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-286-7140"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pt",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "575 Lexington Ave Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100226146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pt",
            "affiliation": "N",
            "address_1": "575 Lexington Ave Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100226146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pt",
            "affiliation": "N",
            "address_1": "575 Lexington Ave Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100226146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Norma Bacilious, MD
• Back and Body Medical
• Back and Body Medical
• Back and Body Medical Care, P.C. (dba Back and Body Medical)
• Back in the Game Therapy, P.C.
• Back Kim MD PC Dba Heartvein Nyc (DBA Heartvein NYC)
• Back to Back Wellness
• Back to Form Physical Therapy, PC
• Back to Function Physical Therapy, P.C
• Back to Health Chiropractic - Midtown West PC (J. Cohen Chiropractic)

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.