Organization Active NPI

Back in Motion Durable Medical Equipment LLC

Doing business as Back in Motion DME

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1588284277
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BACK IN MOTION DURABLE MEDICAL EQUIPMENT LLC
Doing business as
Back in Motion DME
Practice address
925 Congress Park Dr Ste B
Dayton, OH 45459-4098
Phone
(937) 439-9330
Fax
(937) 439-9337
NPI assigned
Apr 22, 2020
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Henry Nick Kuntz III, DCNPI 1558425959
Title
Member
Phone
(937) 439-9330

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

925 Congress Park Dr Ste B
Dayton, OH 45459-4098

Mailing address

925 Congress Park Dr Ste B
Dayton, OH 45459-4098
Phone (937) 439-9330

Other names 1

  • BACK IN MOTION DME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601001552 OH DME Supplier - Medical Supply Company With Orthotic Personnel 5294156154 Practice locations: Dayton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Back in Motion Durble Medical Equip925 Congress Park Dr, Dayton, OH 45459-4098(937) 439-9330 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since May 21, 2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1588284277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CONGRESS PARK DR STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594098",
            "telephone_number": "937-439-9330",
            "fax_number": "937-439-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CONGRESS PARK DR STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594098",
            "telephone_number": "937-439-9330",
            "fax_number": "937-439-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-439-9330",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACK IN MOTION DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.