Back In The Game

LBN: Back In The Game
Back In The Game is an health care organization with primary practice located at 2940 Holmans Ln Ste. B, Jeffersonville IN 47130-6911. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Back In The Game can be contacted via phone (812) 282-4263, or through Thomas, Madonna Renee via phone (812) 282-4263.

Contact Information

Primary practice address
2940 Holmans Ln Ste. B Jeffersonville IN 47130-6911
Phone: (812) 282-4263
Fax: (812) 288-6441
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Madonna Renee Physical Therapist (PT)
Phone: (812) 282-4263

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05002013A Indiana

Profile Details

NPI number 1841488897
LBN Legal business name Back In The Game
DBA Doing business as
Authorized official Thomas, Madonna Renee Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Jan 7th, 2016 - about 10 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 1841488897 NPPES
Indiana Other 000000230208 ANTHEM
Indiana MEDICAID 200421930A ANTHEM
Indiana Other DA7238 ANTHEM

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