NPIMap

Organization Active NPI

Back Home Therapy

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1700564481
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK HOME THERAPY
Practice address
3101 Fallstaff Rd
Baltimore, MD 21209-2967
Phone
(410) 415-3743
NPI assigned
Jul 11, 2023
Organization subpart
Yes
Parent organization
BACK HOME THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Rena Chernoff
Title
Office Manager
Phone
(410) 415-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3101 Fallstaff Rd
Baltimore, MD 21209-2967

Mailing address

3118 Marnat Rd
Baltimore, MD 21208-4503

National Provider Directory

National Provider Directory
Tax ID family
Back Home Therapy4 organizations share this tax ID, including this one
Part of
Back Home Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1700564481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 MARNAT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092967",
            "telephone_number": "410-415-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK HOME THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK HOME THERAPY",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "CHERNOFF",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-415-3743"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.