Back to Health Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK TO HEALTH PHYSICAL THERAPY, INC

Practice address

1809 100TH PL SE
Suite B
Everett, WA 98208-3829

Phone

(425) 357-1809

Fax

(425) 357-8519

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Connie J Klagge, PTNPI 1083762207

Title

President

Phone

(425) 357-1809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie J Klagge, PT

  • Legal Medicine
  • Everett, WA
  • NPI 1083762207
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1659617348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 39TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085428",
            "telephone_number": "425-357-1809",
            "fax_number": "425-357-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 100TH PL SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083829",
            "telephone_number": "425-357-1809",
            "fax_number": "425-357-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "KLAGGE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-357-1809",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damandip Kaur Baath
• Caitlin Lavonne Babcock, AAC-R
• Sean Tyler Babcock
• Susan Kahle Babcock, R.N.
• Chloe Loraine Bacik, RN, CDCES
• Lauren Backholm
• Michael Bacon, DDS
• Ashley Taylor Bacy, BS
• Shadi G Badrieh, MD
• Susan A. Baerg, ARNP

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.