# BACK ON TRACK PHYSICAL THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417396581
- **Authorized official:** MR. KRIS TODD SANDERS MPT (CO-OWNER, DIRECTOR)
- **Authorized official phone:** (541) 573-1543

## Contact information

- **Practice address:** 559 W WASHINGTON ST, BURNS, OR 97720-1441
- **Practice address phone:** (541) 573-1543
- **Practice address fax:** (541) 573-1263
- **Mailing address:** 559 W WASHINGTON ST, BURNS, OR 97720-1441
- **Mailing address phone:** (541) 573-1543
- **Mailing address fax:** (541) 573-1263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 03498 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 05197 | OR | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/21/2013