OrganizationActive
Back to Life LLC
NPI 1063063014 · Rehabilitation Clinic/Center · Malvern, IA
Provider details
- NPI number
- 1063063014
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amberly Wiese, Owner(402) 201-7852
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
305 E 1st St
Malvern, IA 51551-8008
Phone: (402) 201-7852
Street-level locationGet directions
Mailing address
Po Box 178
Malvern, IA 51551-0178
Registry dates
- Enumerated
- 2019-09-21
- Last updated
- 2019-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.