NPIMap

Organization Active NPI

Back to Motion Physical Therapy PC

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1548907702
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK TO MOTION PHYSICAL THERAPY PC
Practice address
7821 W 38TH Ave Ste 101
Wheat Ridge, CO 80033-6185
Phone
(303) 955-8091
Fax
(303) 474-6209
NPI assigned
May 18, 2022
Organization subpart
Yes
Parent organization
BACK TO MOTION PHYSICAL THERAPY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 Primary

Addresses

Primary practice location

7821 W 38TH Ave Ste 101
Wheat Ridge, CO 80033-6185

Mailing address

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

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
This NPI is an additional NPI on the 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
Part of
Back to Motion Physical Therapy

Other organizations with this tax ID 3

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

Locations

1110 Acoma St
Denver, CO 80204
Phone (303) 832-5577

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1548907702",
    "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": "7821 W 38TH AVE STE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336185",
            "telephone_number": "303-955-8091",
            "fax_number": "303-474-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK TO MOTION PHYSICAL THERAPY PC",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "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": null,
            "license": null,
            "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": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.