BACK & SPINE MEDICAL INSTITUTE
NPI 1871690081
Physical Therapist in Fairview Heights, IL

Active since September 20, 2006
5300 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(618) 222-2222 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Back & Spine Medical Institute NPPES

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

BACK & SPINE MEDICAL INSTITUTE (NPI 1871690081) is a healthcare organization registered as a physical therapist in Fairview Heights, Illinois and active in the NPI registry since September 2006. The organization lists Randy Johnson, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1871690081
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBACK & SPINE MEDICAL INSTITUTE
Location Address5300 N ILLINOIS STFairview Heights, IL 62208-3500
Mailing Address1836 Lackland Hill PkwySaint Louis, MO 63146-3572 · (314) 989-0300
Organization SubpartNo
Authorized OfficialRandy JohnsonMd/owner · (314) 781-8082
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 16, 2007
NPI 1871690081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5300 N ILLINOIS ST, Fairview Heights, IL 62208

Other Identifiers 2

OtherDE2495IL · Rr Medicare Group#
Medicare PIN212819IL

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 7

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

Hearing Instrument Specialist
5300 N ILLINOIS ST, STE 105
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
5300 N ILLINOIS ST
FAIRVIEW HTS, IL 62208
Occupational Therapist
5300 N ILLINOIS ST, STE 101
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
5300 N ILLINOIS ST, STE. 101
FAIRVIEW HEIGHTS, IL 62208
Hearing Instrument Specialist
5300 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
5300 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Clinic/Center (Physical Therapy)
5300 N ILLINOIS ST, SUITE 101
FAIRVIEW HEIGHTS, IL 62208

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 & Spine Medical Institute's NPI number?

The NPI number for Back & Spine Medical Institute is 1871690081. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Back & Spine Medical Institute located?

Back & Spine Medical Institute is located at 5300 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 222-2222.

What is Back & Spine Medical Institute's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Back & Spine Medical Institute was last updated on November 16, 2007. 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.