FIGHT BACK PERFORMANCE AND RECOVERY, LLC (NPI# 1851867394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851867394 |
| Entity Type | Organization |
| Organization Name | FIGHT BACK PERFORMANCE AND RECOVERY, LLC |
| Practice Address |
1200 E Morehead St Ste 190 Charlotte NC 28204-2946 |
| Practice Telephone | 9196198231 |
| Mailing Telephone | 9802090656 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | DR. KATHERINE ALDEN EDWARDS (CO-OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9802090656 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1200 E MOREHEAD ST STE 190 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841576063 | Andrea C Smisko | Physical Therapist | 1200 E Morehead St Ste 190, Charlotte, NC 28204-2946 | 2011-11-02 |
| 1265818744 | Katherine Alden Edwards | Physical Therapist | 1200 E Morehead St Ste 190, Charlotte, NC 28204 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1053838912 | Healthworks Med Group of North Carolina P C | Clinic/Center | 5501 Josh Birmingham Pkwy # B11b12, Charlotte, NC 28208-5750 | 2017-08-23 |
| 1548610660 | Healthworks Med Group of North Carolina P C | Clinic/Center | 2300 Yorkmont Rd, Charlotte, NC 28217-4572 | 2016-06-20 |
| 1831662196 | Hopeway Psychiatry & Associates LLC | Clinic/Center | 1717 Sharon Rd W, Charlotte, NC 28210-5663 | 2019-01-09 |
| 1417470774 | Hopeway Wellness | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-07-19 |
| 1124470836 | A Healthier You Weight Loss Clinic | Clinic/Center | 10370 Park Rd, Suite 200, Charlotte, NC 28210-8508 | 2016-07-06 |
| 1669868972 | Homecare for The Carolinas Clinic | Clinic/Center | 9414 Albemarle Rd, Charlotte, NC 28227-3346 | 2015-04-13 |
| 1194156018 | Sensorefrog Pllc | Clinic/Center | 5024 Mountain Point Ln, Charlotte, NC 28216-7765 | 2013-12-02 |
| 1184844599 | Lds Family Services | Clinic/Center | 7621 Little Ave, Suite 420, Charlotte, NC 28226-8368 | 2007-04-26 |
| Find all providers in CHARLOTTE | ||||
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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.