Organization Active NPI

Back to Barbell Sports Rehabilitation and Performance LLC

  • Physical Therapy Clinic/Center
  • Phillipsburg, NJ
National Provider Identifier
1558165902
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK TO BARBELL SPORTS REHABILITATION AND PERFORMANCE LLC
Practice address
224 Stockton St
Phillipsburg, NJ 08865-2948
Phone
(201) 455-7417
Fax
(833) 936-1249
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Devin Crevani, DPTNPI 1992338750
Title
Owner
Phone
(201) 455-7417

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

224 Stockton St
Phillipsburg, NJ 08865-2948

Mailing address

384 Spring Garden Rd
Milford, NJ 08848-1817

National Provider Directory

National Provider Directory

Locations

224 Stockton St
Phillipsburg, NJ 08865
Phone (201) 455-7417

Practitioners & affiliated clinicians

Practitioners 1

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1558165902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 SPRING GARDEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 STOCKTON ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652948",
            "telephone_number": "201-455-7417",
            "fax_number": "833-936-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BARBELL SPORTS REHABILITATION AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "CREVANI",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-455-7417",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.