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BACKCOUNTRY SPINE AND SPORT INC
NPI 1881232056
Chiropractor in Lemont, PA

Active since December 18, 2019CLIA 39D2266975 · Waiver
140 MARY STREET, UNIT B, LEMONT, PA 16851(814) 954-5095 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Dec 18, 2019 (2 updates tracked since 2019).

About Backcountry Spine And Sport Inc NPPES

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

BACKCOUNTRY SPINE AND SPORT INC (NPI 1881232056) is a healthcare organization registered as a chiropractor in Lemont, Pennsylvania and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Joshua Feldbauer, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1881232056
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACKCOUNTRY SPINE AND SPORT INC
Location Address140 MARY STREET, UNIT BLemont, PA 16851
Mailing AddressP.o. Box 181Lemont, PA 16851 · (814) 954-5095
Phone(814) 954-5095
Organization SubpartNo
Authorized OfficialJoshua FeldbauerCo-owner · (814) 954-5095
Enumeration DateDecember 18, 2019
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1881232056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
140 MARY STREET, Lemont, PA 16851
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2266975

Backcountry Spine And Sport Inc · State College, PA
Active · expires Aug 17, 2026
CLIA Number39D2266975
Laboratory TypePractitioner Other
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDr. Joshua J. Feldbauer
Laboratory Phone(814) 954-5095
Laboratory LocationBackcountry Spine And Sport Inc450 Windmere Dr, Ste 250, State College, PA 16801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Backcountry Spine And Sport Inc's NPI number?

The NPI number for Backcountry Spine And Sport Inc is 1881232056. It was assigned to this organization in the NPPES registry on December 18, 2019.

Where is Backcountry Spine And Sport Inc located?

Backcountry Spine And Sport Inc is located at 140 Mary Street Unit B, Lemont, PA 16851. The listed phone number is (814) 954-5095.

What is Backcountry Spine And Sport Inc's specialty?

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

Does Backcountry Spine And Sport Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2266975) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Backcountry Spine And Sport Inc was last updated on September 8, 2021. 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.