Provider Demographics
NPI:1326715053
Name:BACKMAN HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:BACKMAN HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-816-1067
Mailing Address - Street 1:1025 92ND ST UNIT 402
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2889
Mailing Address - Country:US
Mailing Address - Phone:917-816-1067
Mailing Address - Fax:
Practice Address - Street 1:1025 92ND ST UNIT 402
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2889
Practice Address - Country:US
Practice Address - Phone:917-816-1067
Practice Address - Fax:929-312-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy