BACK IN MOTION P.A. (NPI# 1386138642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386138642 |
| Entity Type | Organization |
| Organization Name | BACK IN MOTION P.A. |
| Other Organization Name | BACK IN MOTION INJURY AND WELLNESS CENTER |
| Practice Address |
309 Kingsley Lake Dr Ste 901 St Augustine FL 32092-3048 |
| Mailing Address |
225 Hopkins St Apt A Neptune Beach FL 32266-4890 |
| Practice Telephone | 9045144483 |
| Practice Fax Number | 9043259049 |
| Mailing Telephone | 9045144483 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | DR. COLBY CALTRIDER (OWNER) |
| Authorized Official Telephone | 9045144483 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11232 | FL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Back in Motion Injury and Wellness center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 309 Kingsley Lake Dr Ste 901, St Augustine, FL 320923048 | 9045144483 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BACK IN MOTION PHYSICAL THERAPY P.L.C. | 8523 Oak Pointe Way, Fairfax Station, Virginia 22039 |
| Street Address |
309 KINGSLEY LAKE DR STE 901 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588046262 | Colby Deem Caltrider | Chiropractor | 309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252205 | Eliana Maria Melendez | Chiropractor | 305 N Villa San Marco Dr Unit 306, St Augustine, FL 32086-5194 | 2018-07-26 |
| 1457884876 | Kevin Matthew O'donnell | Chiropractor | 304 Kingsley Lake Dr Ste 603, St Augustine, FL 32092-3042 | 2017-04-04 |
| 1245779818 | Mayredlis Cruz Martir | Chiropractor | 148 Split Oak Rd, St Augustine, FL 32092-5444 | 2017-02-15 |
| 1427404292 | Bret Toftness | Chiropractor | 571 Market St, St Augustine, FL 32095-6827 | 2016-05-10 |
| 1588046262 | Colby Deem Caltrider | Chiropractor | 309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 | 2015-06-18 |
| 1518359942 | Fall Intervention LLC | Chiropractor | 196 Phoenetia Dr, St Augustine, FL 32086-7313 | 2015-02-23 |
| 1558760389 | Hillary Pittman | Chiropractor | 5961 A1a S, Suite 101, St Augustine, FL 32080-7023 | 2014-08-18 |
| 1083037428 | Philip Gregory Rodger | Chiropractor | 317 Vicki Towers Dr, St Augustine, FL 32092-1757 | 2014-01-21 |
| 1053658054 | Cox Chiropractic Pl | Chiropractor | 1023 A1a Beach Blvd, St Augustine, FL 32080-6724 | 2013-01-10 |
| 1497000483 | Jennifer Lyn Marshall Murphy | Chiropractor | 124 Tuscan Way Ste 103, St Augustine, FL 32092-1851 | 2012-07-17 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.