BACK TO HEALTH MEDICAL CENTER, P.C. — NPI 1568417426 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation in STRATFORD, CT)

CMS-1500 Box 24J / 33a • NPI

1568417426

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208100000X (CMS 25)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation

Box 32 Service Location & ZIP+4

3355 MAIN ST, STRATFORD, CT, 06614-4845

✓ 9-Digit EDI 837 ZIP+4 (06614-4845)

Practice Phone & Referral Fax

(203) 381-9703

Fax: (203) 381-9802

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1568417426 (BACK TO HEALTH MEDICAL CENTER, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1568417426` (NPI-2 Organization / Facility)
Provider / Legal Name	BACK TO HEALTH MEDICAL CENTER, P.C.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation NUCC Code: `208100000X` (Physical Medicine & Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3355 MAIN ST, STRATFORD, CT, 06614-4845
Practice Telephone / Fax	Tel: (203) 381-9703 \| Fax: (203) 381-9802
Administrative Mailing Address	PO BOX 617, NAUGATUCK, CT, 06770-0617
Enumeration & Last Sync	Enumerated: 2006-05-22 \| CMS Record Updated: 2020-08-22
Authorized Official	SCOTT HODES (Senior Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3355 MAIN ST, STRATFORD, CT, 06614-4845

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Plain-English Taxonomy & CMS Crosswalk (208100000X)

What Does Taxonomy Code 208100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BACK TO HEALTH MEDICAL CENTER, P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: CT \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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