Backtogolf Performance Center, Llc in Austin - Sports
Backtogolf Performance Center, Llc - NPI 1922202126
Backtogolf Performance Center, Llc is a Sports in Austin, Texas. Backtogolf Performance Center, Llc practices all healthcare services and medical treatments related to Sports. The NPI Number for Backtogolf Performance Center, Llc is 1922202126. The last update date is 2020-08-22.
Backtogolf Performance Center, Llc's current location address is 11318 Aden Ct, Austin, Texas. You can contact this provider via phone number 5123717687 and fax number 5123717601. The mailing address for Backtogolf Performance Center, Llc is 11318 Aden Ct, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Backtogolf Performance Center, Llc |
|---|---|
| Address | 11318 Aden Ct, Austin, Texas |
| Phone Number | 5123717687 |
| Fax Number | 5123717601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Platt Jay M. |
| Credentials | P.T. |
| Telephone Number | 5123717687 |
NPI Number Detail
| NPI Number | 1922202126 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11318 Aden Ct |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787391589 |
| Phone Number | 5123717687 |
| Fax Number | 5123717601 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 1029148 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0089GJ | TX | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Backtogolf Performance Center, Llc by the Centers for Medicare & Medicaid Services?
The Backtogolf Performance Center, Llc has been issued the NPI (National Provider Identifier) 1922202126. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Backtogolf Performance Center, Llc is located?
The Backtogolf Performance Center, Llc is situated at the following address: 11318 Aden Ct, Austin, TX, 787391589.
What is Backtogolf Performance Center, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Backtogolf Performance Center, Llc is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
On what date was the 1922202126 assigned to Backtogolf Performance Center, Llc?
The Backtogolf Performance Center, Llc was issued its 1922202126 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Backtogolf Performance Center, Llc most recently updated or revised?
The information pertaining to Backtogolf Performance Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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