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BACK PAIN REHAB LLC
NPI 1639458094
Chiropractor in Park Ridge, NJ

Active since August 16, 2011
12 WORTENDYKE RD, PARK RIDGE, NJ 07656(201) 750-7246 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Back Pain Rehab Llc NPPES

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

BACK PAIN REHAB LLC (NPI 1639458094) is a healthcare organization registered as a chiropractor in Park Ridge, New Jersey and active in the NPI registry since August 2011. The organization lists Glenn N Collazo, Director, as its authorized official.

NPPES Registry Identity

NPI1639458094
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACK PAIN REHAB CENTER FOR TREATMENT OF BACK PAIN LLC
Location Address12 WORTENDYKE RDPark Ridge, NJ 07656-2046
Mailing Address12 Wortendyke RdPark Ridge, NJ 07656-2046 · (201) 750-7246
Phone(201) 750-7246
Organization SubpartNo
Authorized OfficialGlenn N CollazoDirector · (201) 750-7246
Enumeration DateAugust 16, 2011
✔ NPI 1639458094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00430900
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.
12 WORTENDYKE RD, Park Ridge, NJ 07656
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Other Names 1

Doing Business AsBack Pain Rehab Llc

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLENN NICHOLAS COLLAZO D.C.
Chiropractor
12 WORTENDYKE RD
PARK RIDGE, NJ 07656
Bergen County (201) 750-7246

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 Back Pain Rehab Center For Treatment Of Back Pain LLC's NPI number?

The NPI number for Back Pain Rehab Center For Treatment Of Back Pain LLC is 1639458094. It was assigned to this organization in the NPPES registry on August 16, 2011. The provider is doing business as Back Pain Rehab LLC.

Where is Back Pain Rehab Center For Treatment Of Back Pain LLC located?

Back Pain Rehab Center For Treatment Of Back Pain LLC is located at 12 Wortendyke Rd, Park Ridge, NJ 07656. The listed phone number is (201) 750-7246.

What is Back Pain Rehab Center For Treatment Of Back Pain LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Back Pain Rehab Center For Treatment Of Back Pain LLC was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.