Back to Basics Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2197 Issued in MA

Legal business name

BACK TO BASICS PHYSICAL THERAPY

Practice address

555 Pleasant St
Brockton, MA 02301-2537

Phone

(508) 941-0004

Fax

(508) 941-0001

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Maria Bielawski, PTA, LMT

Title

Owner

Phone

(508) 941-0004

Specialties & licenses 1

Addresses

Tax ID family

Back to Basics Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Healing Touch Massage Clinic

  • Clinic/Center
  • Brockton, MA
  • NPI 1881875870
  NPD tax ID

Locations

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1528383932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012537",
            "telephone_number": "508-941-0004",
            "fax_number": "508-941-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012537",
            "telephone_number": "508-941-0004",
            "fax_number": "508-941-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "BIELAWSKI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-941-0004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA, LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grigory Babadustov, DMD
• Daniel Kelly Babson, DO
• Gabriella Babu, DMD
• William Kendall Bache III, M.D.
• Back in Action'S Backmobile, P.C.
• Olajumoke Bademosi
• Barbara Badio, NP
• Danielle Elizabeth Yaa Gyedua Badoe
• Sang K Bae, DMD
• Laetitia J.S. Baehr-Reed, PSYD

• Physical Therapy Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.