Online Payments Make A Payment Use this form to make a payment to your Backsmith Advanced Physical Therapy invoice or account, using your MasterCard®, VISA®, Discover®, or American Express® card. Enter Your Invoice Number: Amount to Pay: Company Name (if applicable): Your Name: Please provide the following in case we need to contact you about your payment: Your Phone: Your Email: Your payment is not yet completed. Please check the information above and then go to Step 2: Note: When you click the “Go To Step 2” button above, you will be taken to a secure payment form hosted by eProcessingNetwork.com to enter your credit card information. eProcessing Network is the trusted credit card processor for Backsmith Advanced Physical Therapy LLC. Your credit card information will be encrypted and is completely secure, and will not be shared with anyone. Backsmith Advanced Physical Therapy LLC does not save or store your credit card information on its website or servers.