Back2Basics

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

N/A Issued in FL

Legal business name

BACK2BASICS

Practice address

9521 S Orange Blossom TRL
Suite 116
Orlando, FL 32837-8327

Phone

(407) 856-8862

Fax

(407) 856-8863

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Humberto Gutierrez, CH

Title

President

Phone

(407) 856-8862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1952596884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378327",
            "telephone_number": "407-856-8862",
            "fax_number": "407-856-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378327",
            "telephone_number": "407-856-8862",
            "fax_number": "407-856-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK2BASICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-856-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arshad Malik Bachelani, M.D.
• Abdo Bachoura, M.D.
• Amber Grace Bachura, CMHC
• Laura Rachel Bacia, MA, CCC-SLP
• Back to Mind Orlando LLC
• Back2Health LLC
• Back2Nature Chiropractic LLC
• Back2Nature Chiropractic LLC
• Backtomind H
• Katerina Angelique Backus, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Orlando, FL
• Providers in Orlando, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.