Back 2 Motion Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK 2 MOTION REHAB, LLC

Practice address

7873 Highway N
Dardenne Prairie, MO 63368-6704

Phone

(636) 229-1777

Fax

(636) 229-1776

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Benedicte HanquetNPI 1629177720

Title

Owner

Phone

(314) 442-6249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benedicte H Hanquet, PT

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1629177720
  Medicare reassignment Care Compare group NPD Authorized official
• Madalyn Gerecke, PT, DPT

  • Orthopedic Physical Therapist
  • Saint Louis, MO
  • NPI 1558020230
  Medicare reassignment Care Compare group NPD
• Meredith Roach

  • Physical Therapist
  • Dardenne Prairie, MO
  • NPI 1760369326
  Medicare reassignment Care Compare group NPD
• Anna Daria Johnston, PT, DPT

  • Physical Therapist
  • Saint Peters, MO
  • NPI 1164197604
  Medicare reassignment NPD
• Jade Rainbolt

  • Physical Therapist
  • Dardenne Prairie, MO
  • NPI 1225640402
  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1942665260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-441-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7873 HIGHWAY N",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686704",
            "telephone_number": "636-229-1777",
            "fax_number": "636-229-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 MOTION REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "HANQUET",
        "authorized_official_first_name": "BENEDICTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-442-6249"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Abernathy
• Lisa Ann Agee, MA, L/CCC-SLP
• Molly Erin Alfermann, DPT
• Lindsey Marie Aydelott, OTR/L
• Jennifer Lee Becker, PTA
• Cathryn Rose Bettis, DPT, PT
• Brittany Bogert
• Jill Melissa Bosanquet, M.D.
• Dustin Charles Jerome Bosson, DC

• Physical Therapist in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.