Back to Motion Physical Therapy & Rehabilitation Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK TO MOTION PHYSICAL THERAPY & REHABILITATION INC

Practice address

171 Elmora Ave FL 2
Elizabeth, NJ 07202-1169

Phone

(908) 469-9484

Fax

(908) 838-9727

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kishore Kanduri

Title

Director

Phone

(917) 318-5303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992220693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE FL 2",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "908-469-9484",
            "fax_number": "908-838-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE FL 2",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "908-469-9484",
            "fax_number": "908-838-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO MOTION PHYSICAL THERAPY & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KANDURI",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-318-5303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.