Provider Demographics
NPI:1730061516
Name:BACK IN MOTION
Entity type:Organization
Organization Name:BACK IN MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, HFA
Authorized Official - Phone:317-666-0316
Mailing Address - Street 1:11405 N PENN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6905
Mailing Address - Country:US
Mailing Address - Phone:317-343-6904
Mailing Address - Fax:317-975-3913
Practice Address - Street 1:11405 N PENN ST STE 102
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6905
Practice Address - Country:US
Practice Address - Phone:317-343-6904
Practice Address - Fax:317-975-3913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty