NPIMap

Organization Active NPI

Back 2 Health Physical Therapy

  • Physical Therapist
  • Manassas, VA
National Provider Identifier
1629368600
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004018 Issued in VA
Legal business name
BACK 2 HEALTH PHYSICAL THERAPY
Practice address
10515 Crestwood Dr Ste 101
Manassas, VA 20109-4423
Phone
(703) 330-4991
Fax
(703) 330-4993
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Debra A Hood, PT
Title
Physical Therapist
Phone
(703) 330-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305004018 VA Primary

Addresses

Primary practice location

10515 Crestwood Dr Ste 101
Manassas, VA 20109-4423

Mailing address

10515 Crestwood Dr Ste 101
Manassas, VA 20109-4423
Phone (703) 330-4991

National Provider Directory

National Provider Directory

Locations

10515 Crestwood Dr
Ste 101
Manassas, VA 20109
Phone (703) 330-4991

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1629368600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 CRESTWOOD DR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094423",
            "telephone_number": "703-330-4991",
            "fax_number": "703-330-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 CRESTWOOD DR STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094423",
            "telephone_number": "703-330-4991",
            "fax_number": "703-330-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-330-4991",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.