Healthcare Provider Details
I. General information
NPI: 1053753095
Provider Name (Legal Business Name): IBACKCHECK PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2013
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 SCHOOL ST NW STE 109
ELK RIVER MN
55330-1337
US
IV. Provider business mailing address
1000 SCHOOL ST NW STE 109
ELK RIVER MN
55330-1337
US
V. Phone/Fax
- Phone: 763-400-7438
- Fax: 866-881-6769
- Phone: 763-400-7438
- Fax: 866-881-6769
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTI
JO
CHRISTIAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 763-634-8500