Organization Active NPI

Back in Motion, LTD

  • Chiropractor
  • Rockport, TX
National Provider Identifier
1619090644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6946 Issued in TX
Legal business name
BACK IN MOTION, LTD
Practice address
2011 Highway 35 N
Rockport, TX 78382-3302
Phone
(361) 729-2225
Fax
(361) 729-2483
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brad Hawkins, D.C.
Title
Partner
Phone
(361) 729-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6946 TX Primary

Addresses

Primary practice location

2011 Highway 35 N
Rockport, TX 78382-3302

Mailing address

2011 Highway 35 N
Rockport, TX 78382-3302
Phone (361) 729-2225

Other identifiers 2

IdentifierTypeStateIssuer
0096AHMedicaidTX
80321BOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000514 TX Part B Supplier - Clinic/Group Practice 5193709558 Receives reassigned benefits from 1 practitioner
Practice locations: Rockport, TX

National Provider Directory

National Provider Directory

Locations

221 W Avenue A
Ste 5
Port Aransas, TX 78373
Phone (361) 749-2225

2011 Highway 35 N
Rockport, TX 78382
Phone (361) 356-3110

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619090644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823302",
            "telephone_number": "361-729-2225",
            "fax_number": "361-729-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823302",
            "telephone_number": "361-729-2225",
            "fax_number": "361-729-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "361-729-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096AH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80321B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.