Back in Motion Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

28882 Issued in CA

Legal business name

BACK IN MOTION PHYSICAL THERAPY

Practice address

23517 Main St
Suite 115
Carson, CA 90745-5251

Phone

(310) 952-1000

NPI assigned

Nov 15, 2013

Last updated

Jan 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Red

Title

Owner

Phone

(310) 952-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1932539715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST",
            "address_2": "SUITE 115",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST",
            "address_2": "SUITE 115",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455251",
            "telephone_number": "310-952-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "RED",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-952-1000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "28882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lidia Avila I
• Humberto Avina
• Aws Services and Nursing Inc.
• Hamza Ayub
• Annette A Azcarate
• Jimson Bacolod
• Badii Lee Dental Corporation, Inc. (Smile Wide)
• Ji Seon Bae
• Nancy M Bahem, NBC-HWC
• Bajo DMD & Liwanag DMD Inc (Carson Family Dental Office)

• Physical Therapy Clinic/Center in Carson, CA
• Providers in Carson, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.