BACK2BASICS NPI 1952596884

NPI Information

NPI: 1952596884
Provider Name: BACK2BASICS
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
9521 S ORANGE BLOSSOM TRL
SUITE 116
ORLANDO, FL
ZIP 32837
Phone: (407) 856-8862
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BACK2BASICS is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Orlando, FL. BACK2BASICS NPI is 1952596884. The provider is registered as an organization entity type.

The provider's business location address is:

9521 S ORANGE BLOSSOM TRL
SUITE 116
ORLANDO, FL
ZIP 32837-327
Phone: (407) 856-8862
Fax: (407) 856-8863

The provider's authorized official is Humberto Gutierrez .
The authorized official title is President and has the following contact phone number (407) 856-8862.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	N/A	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U42124	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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