Back to Active Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK TO ACTIVE CHIROPRACTIC CLINIC

Practice address

500 Wait Ave Ste 1
Wake Forest, NC 27587-2779

Phone

(984) 900-1137

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Hillary Beatrice Lima, DC

Title

Owner

Phone

(904) 599-0824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1699410522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WAIT AVE STE 1",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872779",
            "telephone_number": "984-900-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WAIT AVE STE 1",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872779",
            "telephone_number": "984-900-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO ACTIVE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-599-0824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mervat Attala
• Caitlin Elise Austin
• Christina Ayers-Klose, LCAS-A
• Elias Emile Ayli, D.O.
• B & D Integrated Health Services
• Anne Davison Baden, PHD
• Irina Baechle, LCSW
• Kristen Hadley Baez, LCMHC-A, MT-BC
• Jamie Michele Bafaro, PT
• Elsa Mae Q Bagnulo, ANP, BC

• Chiropractor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.