Back 2 Basics Ot, Llc

LBN: Back 2 Basics Ot, Llc
Back 2 Basics Ot, Llc is an health care organization with primary practice located at 134 Honors Way , Winter Springs FL 32708-6352. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Back 2 Basics Ot, Llc can be contacted via phone (407) 376-2592, or through Brainin-Mattos, Solina via phone (407) 376-2592.

Contact Information

Primary practice address
134 Honors Way Winter Springs FL 32708-6352
Phone: (407) 376-2592
Fax: (407) 369-4221
Website:
Map and Directions
Authorized official contact:
Name: Brainin-Mattos, Solina OTR/L
Phone: (407) 376-2592

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT14072 Florida

Profile Details

NPI number 1780170498
LBN Legal business name Back 2 Basics Ot, Llc
DBA Doing business as
Authorized official Brainin-Mattos, Solina OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2018
Last updated Sep 25th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780170498 NPPES
Florida MEDICAID 1043503485

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