BACK ON TRACK PHYSICAL THERAPY, LLC (NPI# 1417396581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417396581 |
| Entity Type | Organization |
| Organization Name | BACK ON TRACK PHYSICAL THERAPY, LLC |
| Practice Address |
559 W Washington St Burns OR 97720-1441 |
| Practice Telephone | 5415731543 |
| Practice Fax Number | 5415731263 |
| Mailing Telephone | 5415731543 |
| Mailing Fax Number | 5415731263 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | MR. KRIS TODD SANDERS (CO-OWNER, DIRECTOR) |
| Authorized Official Telephone | 5415731543 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
03498 | OR | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
05197 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700192689 | Back On Track Physical Therapy, LLC | Clinic/Center | 9080 Woodstork Ct, Venice, FL 34293-7614 | 2010-08-30 |
| 1720052798 | Back On Track Physical Therapy, LLC | Clinic/Center | W359n5002 Brown St, Suite B, Oconomowoc, WI 53066-3366 | 2006-02-15 |
| Street Address |
559 W WASHINGTON ST |
| City | BURNS |
| State | OR |
| Zip Code | 97720-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660589 | Toni J Feist | Nurse Practitioner | 559 W Washington St, Burns, OR 97720-1441 | 2005-12-22 |
| 1447883525 | Mary Elizabeth Schimmelpfennig | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2020-02-18 |
| 1194167445 | Tyler J Volle | Physical Therapist | 559 W Washington St, Burns, OR 97720-1441 | 2013-07-26 |
| 1205278140 | Kris Todd Sanders | Physical Therapist | 559 W Washington St, Burns, OR 97720-1441 | 2013-07-19 |
| 1013276195 | Harney District Hospital | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2012-05-10 |
| 1720344393 | Larissa Ann Thomas | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2012-04-07 |
| 1801188685 | Heidi R Vanyo | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2011-05-11 |
| 1154419182 | Holland Hoyt Haynie IIi | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-10-11 |
| 1316034838 | William Barstow | Obstetrics & Gynecology | 559 W Washington St, Burns, OR 97720 | 2006-10-06 |
| 1487676821 | Kevin Johnston | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| Find all providers in zip 97720 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1750930004 | Revolutions Physical Therapy LLC | Clinic/Center | 8751 Sw Pamlico Ct, Tualatin, OR 97062-9345 | 2019-09-10 |
| 1487202362 | Mpt LLC | Clinic/Center | 98158 W Benham Ln Ste 10, Brookings, OR 97415-9546 | 2019-09-03 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
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| 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.