Organization Active NPI

Back to Health, LLC

  • Chiropractor
  • Shrewsbury, MA
National Provider Identifier
1851621783
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2356 Issued in MA
Legal business name
BACK TO HEALTH, LLC
Practice address
512 Main St
Shrewsbury, MA 01545-6405
Phone
(508) 752-7521
Fax
(508) 798-3418
NPI assigned
Dec 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Brian T Cotter, D.C.NPI 1043246010
Title
Owner
Phone
(508) 752-7521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2356 MA Primary

Addresses

Primary practice location

512 Main St
Shrewsbury, MA 01545-6405

Mailing address

512 Main St
Shrewsbury, MA 01545-6405
Phone (508) 752-7521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000786 MA Part B Supplier - Clinic/Group Practice 7416092341 Receives reassigned benefits from 1 practitioner
Practice locations: Shrewsbury, MA

National Provider Directory

National Provider Directory

Locations

512 Main St
Shrewsbury, MA 01545
Phone (508) 752-7521

512 Main St
Fl 2
Shrewsbury, MA 01545
Phone (508) 752-7521

688 Pleasant St
Worcester, MA 01602
Phone (508) 791-5164

82 Park Ave
Worcester, MA 01609
Phone (508) 523-3604

Practitioners & affiliated clinicians

Practitioners 8

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": "1261785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1851621783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-752-7521",
            "fax_number": "508-798-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-752-7521",
            "fax_number": "508-798-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-752-7521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.