Organization
BACK ON TRACK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY SISUN PT (PRESIDENT OWNER)
(617) 730-5337
Entity
Organization
Contact information
Practice address
1269 BEACON ST, 2ND FLOOR, BROOKLINE, MA 02446-5248
(617) 730-5337
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(617) 730-5337
(617) 730-5461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
38
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605716
HPHC LEGACY
MA
01
—
OG0001
BC LEGACY OT SERVICES
MA
01
—
Y65633
BC LEGACY PT SERVICES
MA
Enumeration date
01/22/2007
Last updated
12/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up