BACKTOGOLF PERFORMANCE & FITNESS INC
NPI 1669571188
Physical Therapist in Santa Rosa, CA
About Backtogolf Performance & Fitness Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BACKTOGOLF PERFORMANCE & FITNESS INC (NPI 1669571188) is a healthcare organization registered as a physical therapist in Santa Rosa, California and active in the NPI registry since September 2006. The organization lists Mary K Mullnix, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Backtogolf Performance & Fitness Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Backtogolf Performance & Fitness Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Backtogolf Performance & Fitness Inc's NPI number?
The NPI number for Backtogolf Performance & Fitness Inc is 1669571188. It was assigned to this organization in the NPPES registry on September 21, 2006.
Where is Backtogolf Performance & Fitness Inc located?
Backtogolf Performance & Fitness Inc is located at 208 Concourse Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 303-4992.
What is Backtogolf Performance & Fitness Inc's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Backtogolf Performance & Fitness Inc enrolled in Medicare?
Yes. Backtogolf Performance & Fitness Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Backtogolf Performance & Fitness Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Backtogolf Performance & Fitness Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Backtogolf Performance & Fitness Inc was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.