BACK IN ACTION OF SCOTTSDALE LLC (NPI# 1124225008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124225008 |
| Entity Type | Organization |
| Organization Name | BACK IN ACTION OF SCOTTSDALE LLC |
| Other Organization Name | BACK IN ACTION PAIN THERAPY |
| Practice Address |
2340 E Beardsley Rd Ste 120 Phoenix AZ 85024-1286 |
| Mailing Address |
8711 E Pinnacle Peak Rd Pmb 105 Scottsdale AZ 85255-3517 |
| Practice Telephone | 4805134801 |
| Practice Fax Number | 4805134867 |
| Mailing Telephone | 4805134801 |
| Mailing Fax Number | 4805134867 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | KEITH W FANDRY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4805134801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 437521 | 05 |
| Other Name | Type Code |
|---|---|
| Back In Action Pain Therapy | Doing Business As Name - Organization |
| Street Address |
2340 E BEARDSLEY RD STE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85024-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740496983 | Kristi Campanella | Physical Therapist | 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024-1286 | 2007-05-15 |
| 1578181137 | Innovative Pain and Wellness Plc | Pain Medicine | 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024-1286 | 2020-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701960 | Milena Jovanovic | Assisted Living Facility | 20652 N. 16th Way, Phoenix, AZ 85024 | 2017-06-28 |
| 1326592825 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 86, Phoenix, AZ 85024 | 2016-08-12 |
| 1174926034 | Audrey Gale | Physician Assistant | 19401 N Cave Creek Rd Ste 18, Phoenix, AZ 85024 | 2014-10-06 |
| 1760891972 | Automotive Personnel Network LLC | Case Management | 20827 N Cave Creek Road, Suite103, Phoenix, AZ 85024 | 2014-08-13 |
| 1437571551 | Topical Solutions Pharmacy | Pharmacy | 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2014-01-08 |
| 1720319494 | Brooke Joanne Adams | Pharmacist | 20441 N 10th St, Phoenix, AZ 85024 | 2010-01-20 |
| 1558596437 | Accurate Care Chiropractic & Acupuncture PC | Chiropractor | 20235 N Cave Creek Road, Suite 110, Phoenix, AZ 85024 | 2009-05-21 |
| 1144348111 | Adam's House Inc | Home Health | 20625 N 8th St, Phoenix, AZ 85024 | 2007-03-27 |
| 1518085828 | Marisa Rubio Ellis | Dentist | 822 East Union Hills Dr, Ste D6, Phoenix, AZ 85024 | 2007-03-26 |
| 1891888483 | Lc Global Company Incorporated | Durable Medical Equipment & Medical Supplies | 20021 N. Cavecreek Rd, Unit#7, Phoenix, AZ 85024 | 2006-10-02 |
| Find all providers in zip 85024 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937563 | Daniel Cooper | Physical Therapist | 20242 N 29th Pl, Phoenix, AZ 85050-4711 | 2019-05-15 |
| 1649836552 | Zachary Allen Cash | Physical Therapist | 20940 N Tatum Blvd Ste B290, Phoenix, AZ 85050-4265 | 2019-05-15 |
| 1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
| 1770038028 | Benjamin Alika Erbe | Physical Therapist | 4100 E Broadway Rd Ste 130, Phoenix, AZ 85040-8809 | 2016-08-16 |
| 1528442472 | Landmark Physical Therapy, Pllc | Physical Therapist | 4530 E Shea Blvd Ste 105, Phoenix, AZ 85028-6082 | 2015-07-09 |
| 1972915494 | Tops Physical Therapy, LLC | Physical Therapist | 5353 N 16th St, 120, Phoenix, AZ 85016-3224 | 2014-06-02 |
| 1508139254 | Dg Enterprises, LLC | Physical Therapist | 2426 E Park View Ln, Phoenix, AZ 85024-5270 | 2012-02-10 |
| 1497900955 | Dana M Winnie | Physical Therapist | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-8858 | 2008-11-25 |
| 1215056916 | Angela Kennedy | Physical Therapist | 3818 E Montecito Ave, Phoenix, AZ 85018-4130 | 2007-03-27 |
| 1750456935 | Garrett Coleman Early | Physical Therapist | 2222 E Highland Ave Ste 310, Phoenix, AZ 85016-4879 | 2006-11-22 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on BACK IN ACTION OF SCOTTSDALE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.