Back2 Health Physical Therapy Inc
NPI 1053419408 · Physical Medicine & Rehabilitation Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Back2 Health Physical Therapy Inc is a Physical Medicine & Rehabilitation Physician organization in Los Angeles, CA (NPI 1053419408).
Provider details
- NPI number
- 1053419408
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vladislav Shut, President(310) 246-1050
- License
- PT32430 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Back2 Health Physical Therapy Inc's NPI number?
- Back2 Health Physical Therapy Inc's National Provider Identifier (NPI) is 1053419408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back2 Health Physical Therapy Inc?
- Back2 Health Physical Therapy Inc is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Back2 Health Physical Therapy Inc located?
- Back2 Health Physical Therapy Inc's practice location on file with NPPES is 1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565.
- What is Back2 Health Physical Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Back2 Health Physical Therapy Inc is (310) 246-1050.
- Does Back2 Health Physical Therapy Inc accept Medicare?
- Back2 Health Physical Therapy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Back2 Health Physical Therapy Inc?
- The authorized official listed on Back2 Health Physical Therapy Inc's NPPES record is Vladislav Shut, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back2 Health Physical Therapy Inc's NPI active?
- Yes — Back2 Health Physical Therapy Inc's NPI (1053419408) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.