SPINE AND BODY RENEWAL PLLC
NPI 1417715285
Chiropractor in Rockford, IL

Active since March 07, 2024
4350 MORSAY DR, ROCKFORD, IL 61107(815) 398-4500 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spine And Body Renewal Pllc NPPES

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

SPINE AND BODY RENEWAL PLLC (NPI 1417715285) is a healthcare organization registered as a chiropractor in Rockford, Illinois and active in the NPI registry since March 2024. The organization lists Hannah Orem, Owner, as its authorized official.

NPPES Registry Identity

NPI1417715285
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE AND BODY RENEWAL PLLC
Location Address4350 MORSAY DRRockford, IL 61107-4877
Mailing Address4350 Morsay DrRockford, IL 61107-4877 · (815) 398-4500
Organization SubpartNo
Authorized OfficialHannah OremOwner · (815) 398-4500
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1417715285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
4350 MORSAY DR, Rockford, IL 61107

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine And Body Renewal Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Spine And Body Renewal PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1619307949
4350 MORSAY DR
Rockford, IL 61107
(815) 398-4500
Same address
Chiropractic
NPI 1477438794
4350 MORSAY DR
Rockford, IL 61107
(815) 398-4500
Same address
Occupational Therapist in Private Practice
NPI 1649739103
10653 WAYSATA BLVD. SUITE 200
Minnetonka, MN 55305
(952) 224-1919
288 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 Spine And Body Renewal PLLC's NPI number?

The NPI number for Spine And Body Renewal PLLC is 1417715285. It was assigned to this organization in the NPPES registry on March 7, 2024.

Where is Spine And Body Renewal PLLC located?

Spine And Body Renewal PLLC is located at 4350 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 398-4500.

What is Spine And Body Renewal PLLC's specialty?

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

Is Spine And Body Renewal PLLC enrolled in Medicare?

Yes. Spine And Body Renewal PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine And Body Renewal PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Spine And Body Renewal PLLC, in Chiropractic and Occupational Therapist in Private Practice. 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, 2 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 Spine And Body Renewal PLLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.