Organization Active NPI

Back to Normal Physical Therapy, Inc.

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1861932659
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13989 Issued in FL
Legal business name
BACK TO NORMAL PHYSICAL THERAPY, INC.
Practice address
465 2ND Ave N Ste a
Saint Petersburg, FL 33701-3201
Phone
(727) 362-6866
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Lisa Chase, PT
Title
President
Phone
(727) 362-6866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT13989 FL Primary
Massage Therapist 225700000X MA39620 FL

Addresses

Primary practice location

465 2ND Ave N Ste a
Saint Petersburg, FL 33701-3201

Mailing address

465 2ND Ave N Ste a
Saint Petersburg, FL 33701-3201
Phone (727) 362-6866

National Provider Directory

National Provider Directory

Locations

465 2nd Ave N
Ste A
Saint Petersburg, FL 33701
Phone (727) 362-6866

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1861932659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 2ND AVE N STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013201",
            "telephone_number": "727-362-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 2ND AVE N STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013201",
            "telephone_number": "727-362-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO NORMAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-362-6866",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13989",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA39620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.