OrganizationActive
Back on Track Physical Therapy, LLC
NPI 1700192689 · Multi-Specialty Clinic/Center · Venice, FL
Provider details
- NPI number
- 1700192689
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Kirby, Mpt(941) 726-5392
- License
- PT22716 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
9080 Woodstork Ct
Venice, FL 34293-7614
Phone: (941) 412-4465
Street-level locationGet directions
Mailing address
9080 Woodstork Ct
Venice, FL 34293-7614
Registry dates
- Enumerated
- 2010-08-30
- Last updated
- 2013-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.