- Practice location
- 665 Boylston St # 3, Boston, MA 02116-4824
- Phone
- 724-554-2795
- Fax
- 857-350-3251
- Last updated
- August 8, 2020
Back Bay Health LLC is a healthcare organization based in Boston, MA. Back Bay Health LLC practices in Boston, MA. The NPI Number for Back Bay Health LLC is 1033554894. The current practice location address for Back Bay Health LLC is 665 Boylston St # 3, Boston, MA 02116-4824 and can be reached out via phone at 724-554-2795 and via fax at 857-350-3251.
Provider Profile Details
- NPI Number
- 1033554894
- Provider Name
- Back Bay Health LLC
- Provider Entity Type
- Organization
- Address
- 665 Boylston St # 3, Boston, MA 02116-4824
- Phone Number
- 724-554-2795
- Fax Number
- 857-350-3251
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Timothy Richard Latham, DC · Owner · 724-554-2795
- Other Names
- Back Bay Health And Performance (Doing Business As)
Mass Wellness (Doing Business As) - Provider Enumeration Date
- May 7, 2013
- Last Update Date
- August 8, 2020
- Certification Date
- August 8, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 665 Boylston St # 3
Boston, MA 02116-4824 - City
- Boston
- State
- Massachusetts
- Zip
- 02116-4824
- Phone Number
- 724-554-2795
- Fax Number
- 857-350-3251
Provider Business Mailing Address Details
- Address
- 665 Boylston St # 3
Boston, MA 02116-4824 - City
- Boston
- State
- MA
- Zip
- 02116-4824
License Information
- Taxonomy (1)
- Nutritionist · 133N00000X
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- Taxonomy (3)
- Physical Therapist · 225100000X
- Taxonomy (4)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Back Bay Health LLC?
The NPI number of Back Bay Health LLC is 1033554894. It was assigned on May 7, 2013 and is currently active in the NPPES registry.
What is the specialty of Back Bay Health LLC?
Back Bay Health LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Back Bay Health LLC practice?
The practice location is 665 Boylston St # 3, Boston, MA 02116-4824. The office can be reached at 724-554-2795 (phone) or 857-350-3251 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033554894 directly on the NPPES registry website.