Back In Action Pain Therapy

LBN: Back In Action Of Scottsdale Llc
Back In Action Pain Therapy is an health care organization with primary practice located at 2340 E Beardsley Rd Ste 120 , Phoenix AZ 85024-1286. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as the primary health care specialty. Back In Action Of Scottsdale Llc can be contacted via phone (480) 513-4801, or through Fandry, Keith W via phone (480) 513-4801.

Contact Information

Primary practice address
2340 E Beardsley Rd Ste 120 Phoenix AZ 85024-1286
Phone: (480) 513-4801
Fax: (480) 513-4867
Website:
Map and Directions
Authorized official contact:
Name: Fandry, Keith W
Phone: (480) 513-4801

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1124225008
LBN Legal business name Back In Action Of Scottsdale Llc
DBA Doing business as Back In Action Pain Therapy
Authorized official Fandry, Keith W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 28th, 2020 - 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 1124225008 NPPES
Arizona MEDICAID 437521

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