ADVANCED BACK CENTER
NPI 1043486947
Chiropractor in Southington, CT

Active since May 01, 2008
200 QUEEN ST, SOUTHINGTON, CT 06489(860) 621-2225(860) 621-2868 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Back Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED BACK CENTER (NPI 1043486947) is a healthcare organization registered as a chiropractor in Southington, Connecticut and active in the NPI registry since May 2008. The organization lists Stacey Kim Raya, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1043486947
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED BACK CENTER
Location Address200 QUEEN STSouthington, CT 06489-1901
Mailing Address200 Queen StSouthington, CT 06489-1901 · (860) 621-2225 · Fax (860) 621-2868
Fax(860) 621-2868
Organization SubpartNo
Authorized OfficialStacey Kim RayaOwner/president · (860) 621-2225
Enumeration DateMay 1, 2008
✔ NPI 1043486947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 000938
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
200 QUEEN ST, Southington, CT 06489

Other Identifiers 1

Medicare PINC01587CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Back Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Advanced Back Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Chiropractic
NPI 1093017527
200 QUEEN ST
Southington, CT 06489
(860) 621-2225
Same address
Chiropractic
NPI 1912633231
200 QUEEN ST
Southington, CT 06489
(860) 621-2225
Same address
Chiropractic
NPI 1073502134
200 QUEEN ST
Southington, CT 06489
(860) 621-2225
Same address
Chiropractic
NPI 1114279288
800 MAIN ST S STE 112
Southbury, CT 06488
(203) 533-9677
✔ Accepts Medicare22 mi
Chiropractic
NPI 1174603146
15 HUNTINGTON PLZ
Shelton, CT 06484
(203) 926-9841
24 mi
Chiropractic
NPI 1568716926
117 RIVER ST OFFICES B
Milford, CT 06460
(203) 301-3330
✔ Accepts Medicare29 mi
Chiropractic
NPI 1356775332
305 FLANDERS RD SUITE 6
East Lyme, CT 06333
(860) 739-3600
39 mi
Chiropractic
NPI 1124112370
1867 SUMMER ST
Stamford, CT 06905
(203) 975-7000
✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Back Center's NPI number?

The NPI number for Advanced Back Center is 1043486947. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Advanced Back Center located?

Advanced Back Center is located at 200 Queen St, Southington, CT 06489. The listed phone number is (860) 621-2225.

What is Advanced Back Center's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Advanced Back Center enrolled in Medicare?

Yes. Advanced Back Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Back Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Chiropractic, reassign their Medicare billing to Advanced Back Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Back Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Back Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Back Center was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.