NPIMap

Organization Active NPI

Back to Wellness Physical Therapy SC

  • Physical Therapy Clinic/Center
  • West Bend, WI
National Provider Identifier
1861929622
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BACK TO WELLNESS PHYSICAL THERAPY SC
Practice address
5751 Cheryl LN
West Bend, WI 53095-9131
Phone
(262) 384-1274
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Bess Romagna, DCNPI 1699865394
Title
Owner
Phone
(262) 384-1274

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5751 Cheryl LN
West Bend, WI 53095-9131

Mailing address

5751 Cheryl LN
West Bend, WI 53095-9131
Phone (262) 384-1274

National Provider Directory

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1861929622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 CHERYL LN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959131",
            "telephone_number": "262-384-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 CHERYL LN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959131",
            "telephone_number": "262-384-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS PHYSICAL THERAPY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ROMAGNA",
        "authorized_official_first_name": "BESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-384-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.