THERAPEUTIC SPINE AND PAIN CENTER, LTD.
NPI 1124787940
Pain Medicine - Interventional Pain Medicine in Bloomington, IL

Q: What is Therapeutic Spine And Pain Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since December 09, 2021

3801 GENERAL ELECTRIC RD STE 4, BLOOMINGTON, IL 61704(309) 319-2341 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Dec 9, 2021 (2 updates tracked since 2021).

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About Therapeutic Spine And Pain Center, Ltd. NPPES

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

THERAPEUTIC SPINE AND PAIN CENTER, LTD. (NPI 1124787940) is a healthcare organization registered as an interventional pain medicine in Bloomington, Illinois and active in the NPI registry since December 2021. The organization lists Craig W Carmichael, President, as its authorized official.

NPPES Registry Identity

NPI1124787940

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameTHERAPEUTIC SPINE AND PAIN CENTER, LTD.

Location Address3801 GENERAL ELECTRIC RD STE 4Bloomington, IL 61704-4193

Mailing Address19646 Briar DrBloomington, IL 61705-4030 · (309) 824-8670

Phone(309) 319-2341

Organization SubpartNo

Authorized OfficialCraig W CarmichaelPresident · (309) 824-8670

Enumeration DateDecember 9, 2021

Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2022

✔ NPI 1124787940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

3801 GENERAL ELECTRIC RD STE 4, Bloomington, IL 61704

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therapeutic Spine And Pain Center, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20220111001136Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Therapeutic Spine And Pain Center, Ltd., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Craig Carmichael, M.D.

Physical Medicine and Rehabilitation

NPI 1497761100

3801 GENERAL ELECTRIC RD STE 4
Bloomington, IL 61704

(309) 319-2341

✔ PECOS✔ Accepts MedicareSame address

Emily Randall

Physical Therapist in Private Practice

NPI 1174940522

120 N. LOCUST
Wapella, IL 61777

(217) 876-2600

✔ Accepts Medicare20 mi

William Noonan, PT

Physical Therapist in Private Practice

NPI 1952319154

215 W LOCUST ST
Fairbury, IL 61739

(815) 692-2270

✔ Accepts Medicare27 mi

Dawn Phillips, MPT

Physical Therapist in Private Practice

NPI 1144278532

215 W LOCUST ST
Fairbury, IL 61739

(815) 692-3941

✔ Accepts Medicare27 mi

Shelby Helmick

Nurse Practitioner

NPI 1548004658

4440 N PROSPECT RD STE A
Peoria Heights, IL 61616

(309) 248-6399

✔ PECOS39 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 Therapeutic Spine And Pain Center, Ltd.'s NPI number?

The NPI number for Therapeutic Spine And Pain Center, Ltd. is 1124787940. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Therapeutic Spine And Pain Center, Ltd. located?

Therapeutic Spine And Pain Center, Ltd. is located at 3801 General Electric Rd Ste 4, Bloomington, IL 61704. The listed phone number is (309) 319-2341.

What is Therapeutic Spine And Pain Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Therapeutic Spine And Pain Center, Ltd. enrolled in Medicare?

Yes. Therapeutic Spine And Pain Center, Ltd. is registered in the Medicare PECOS enrollment system.

When is Therapeutic Spine And Pain Center, Ltd.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Therapeutic Spine And Pain Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Therapeutic Spine And Pain Center, Ltd.. 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. The largest specialties are Physical Therapist in Private Practice (3), Nurse Practitioner (1) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Therapeutic Spine And Pain Center, Ltd. was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.