Back in Motion Physical Therapy. LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009869

Legal business name

BACK IN MOTION PHYSICAL THERAPY. LLC

Practice address

5210 N Road 68
Suite F
Pasco, WA 99301-9276

Phone

(509) 380-5825

Fax

(509) 380-5826

NPI assigned

Jan 11, 2012

Organization subpart

No

Name

Mr. Luron Anderson

Title

Owner/Provider

Phone

(509) 380-5825

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2012.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1598035289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 N ROAD 68",
            "address_2": "SUITE F",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019276",
            "telephone_number": "509-380-5825",
            "fax_number": "509-380-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 N ROAD 68",
            "address_2": "SUITE F",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019276",
            "telephone_number": "509-380-5825",
            "fax_number": "509-380-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LURON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-380-5825",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT00009869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.