Back In Action
LBN: Back In Action Physical Therapy, Llc
Back In Action is an health care organization with primary practice located at 1001 E Bogard Rd , Wasilla AK 99654-7114. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Back In Action Physical Therapy, Llc can be contacted via phone (907) 376-2225, or through Larson, Kristofer D via phone (907) 376-2225.
Contact Information
Primary practice address
1001 E Bogard Rd
Wasilla AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225
Website:
Authorized official contact:
Name: Larson, Kristofer D Doctor of Chiropractic (DC)
Phone: (907) 376-2225
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1356621395 |
|---|---|
| LBN Legal business name | Back In Action Physical Therapy, Llc |
| DBA Doing business as | Back In Action |
| Authorized official | Larson, Kristofer D Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Mar 9th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356621395 | NPPES |
| Alaska | MEDICAID | 1683033 |
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