Healthcare Provider Details

I. General information

NPI: 1619982287
Provider Name (Legal Business Name): CHAIM BACKMAN P. T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 COLLINS AVE APT 6H
BAL HARBOUR FL
33154-1828
US

IV. Provider business mailing address

9801 COLLINS AVE APT 6H
BAL HARBOUR FL
33154-1828
US

V. Phone/Fax

Practice location:
  • Phone: 917-816-1067
  • Fax:
Mailing address:
  • Phone: 347-292-7745
  • Fax: 929-312-3752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number016523
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: