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Contact Information

BACK ON TRACK, P.C.
1269 BEACON ST
2ND FLOOR
BROOKLINE, MA02446-5248
 Phone: 617-730-5337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BACK ON TRACK, P.C.

NPI # 1255484168
LBN Legal business name BACK ON TRACK, P.C.
Authorized official HENRY SISUN - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 12/07/2011 - About 15 years ago
Identifiers
MA License # 38
MA Other Y65633 BC LEGACY PT SERVICES
MA Other OG0001 BC LEGACY OT SERVICES
MA Other 605716 HPHC LEGACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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