OrganizationActive
Back to Life PT
NPI 1679874572 · Physical Therapy Clinic/Center · Washington, DC
Provider details
- NPI number
- 1679874572
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tarik Chase, Owner
- License
- 20977 (MD)
Mailing address
315 V St Ne
Washington, DC 20002-1411
Registry dates
- Enumerated
- 2010-11-08
- Last updated
- 2010-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.