Back to Me LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BACK TO ME LLC

Practice address

2090 S Nova Rd Ste A127
South Daytona, FL 32119-8841

Phone

(386) 341-6256

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By 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

Rhoda Marie Moten, CRANIAL PROTHESIS SPNPI 1659746998

Title

Ower

Phone

(386) 341-6256

Specialties & licenses 1

Addresses

Locations

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.

• Rhoda Moten

  • Specialist
  • South Daytona, FL
  • NPI 1659746998
  NPD Authorized official
• Oliver Ross

  • Specialist
  • South Daytona, FL
  • NPI 1538915798
  NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1538915392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S NOVA RD STE A127",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198841",
            "telephone_number": "386-341-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 S NOVA RD STE A127",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198841",
            "telephone_number": "386-341-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MOTEN",
        "authorized_official_first_name": "RHODA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "386-341-6256",
        "authorized_official_credential": "CRANIAL PROTHESIS SP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.