Backtogolf Performance & Fitness Inc
NPI 1669571188 · Physical Therapist · Santa Rosa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Backtogolf Performance & Fitness Inc is a Physical Therapist organization in Santa Rosa, CA (NPI 1669571188).
Provider details
- NPI number
- 1669571188
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mary Mullnix, Practice Administrator(707) 303-4995
- License
- PT11380 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
- 2006-09-21
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Frequently asked questions
- What is Backtogolf Performance & Fitness Inc's NPI number?
- Backtogolf Performance & Fitness Inc's National Provider Identifier (NPI) is 1669571188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Backtogolf Performance & Fitness Inc?
- Backtogolf Performance & Fitness Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Backtogolf Performance & Fitness Inc located?
- Backtogolf Performance & Fitness Inc's practice location on file with NPPES is 208 Concourse Blvd, Santa Rosa, CA 95403.
- What is Backtogolf Performance & Fitness Inc's phone number?
- The practice phone number listed in the NPPES registry for Backtogolf Performance & Fitness Inc is (707) 303-4992.
- Does Backtogolf Performance & Fitness Inc accept Medicare?
- Backtogolf Performance & Fitness 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 Backtogolf Performance & Fitness Inc?
- The authorized official listed on Backtogolf Performance & Fitness Inc's NPPES record is Mary Mullnix, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Backtogolf Performance & Fitness Inc's NPI active?
- Yes — Backtogolf Performance & Fitness Inc's NPI (1669571188) is active in the NPPES registry as of the last update on 2020-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.