{"npi":"1497053318","type":"NPI-2","status":"active","name":{"display":"Back In Action Physical Therapy Inc.","other":[],"organization_name":"BACK IN ACTION PHYSICAL THERAPY INC.","authorised_official":"Colette Coiner"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251S0007X","description":"Sports Physical Therapist","primary":false,"state":"CA","license":"PT17119"},{"code":"2251X0800X","description":"Orthopedic Physical Therapist","primary":false,"state":"CA","license":"PT17119"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"CA","license":"PT17119"}]},"addresses":[{"purpose":"LOCATION","street_1":"12544 HIGH BLUFF DR STE 200","city":"SAN DIEGO","state":"CA","postal_code":"921303050","country_code":"US","phone":"8887132220","fax":"8587930704"},{"purpose":"MAILING","street_1":"12526 HIGH BLUFF DR STE 300","city":"SAN DIEGO","state":"CA","postal_code":"921302067","country_code":"US","phone":"8887132220","fax":"8587930704"}],"license":{"state":"CA","number":"PT17119"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120326000589","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"CA","pac_id":"3971763160"}]},"enumeration_date":"2011-03-01","last_updated":"2026-02-07","_meta":{"source":"NPPES","snapshot_date":"2026-02-07","doc_url":"https://findmynpi.com/api"}}