NPIMap

Organization Active NPI

Back in Motion Sport & Spine Physical Therapy LLC

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1831616416
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30740 Issued in FL
Legal business name
BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC
Practice address
9400 Gladiolus Dr Ste 100
Fort Myers, FL 33908-6698
Phone
(239) 223-0484
Fax
(239) 790-0969
NPI assigned
Aug 24, 2017
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Scott Gray, DPTNPI 1073982617
Title
Owner/Founder
Phone
(239) 223-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30740 FL Primary
Sports Physical Therapist 2251S0007X 30740 FL

Addresses

Primary practice location

9400 Gladiolus Dr Ste 100
Fort Myers, FL 33908-6698

Mailing address

9400 Gladiolus Dr Ste 100
Fort Myers, FL 33908-6698
Phone (239) 223-2484

National Provider Directory

National Provider Directory

Locations

4784 Pelican Sound Blvd
Estero, FL 33928
Phone (239) 233-0484

9211 College Pkwy
Fort Myers, FL 33919
Phone (239) 223-0484

9724 Commerce Center Ct
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Ste B
Fort Myers, FL 33908
Phone (239) 223-0484

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1831616416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086698",
            "telephone_number": "239-223-2484",
            "fax_number": "239-790-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086698",
            "telephone_number": "239-223-0484",
            "fax_number": "239-790-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "239-223-0484",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30740",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "30740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.