# BACK TO BASICS FAMILY PHYSICAL THERAPY PC

> 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:** 1417998329
- **Authorized official:** JEFFREY M FORD (BUSINESS MANAGER)
- **Authorized official phone:** (540) 985-0500

## Contact information

- **Practice address:** 7768 WILLIAMSON RD, ROANOKE, VA 24019-4343
- **Practice address phone:** (540) 985-0500
- **Practice address fax:** (540) 985-0529
- **Mailing address:** 7768 WILLIAMSON RD, ROANOKE, VA 24019-4343
- **Mailing address phone:** (540) 985-0500
- **Mailing address fax:** (540) 985-0529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2305004995 | VA | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 01/12/2026