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NPI Code Detail

MEDICARE: BACK IN MOTION PHYSICAL THERAPY & SPINE CENTER PC

MEDICARE: BACK IN MOTION PHYSICAL THERAPY & SPINE CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist70015875IL
2111N00000XChiropractorIL
3225100000XPhysical TherapistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105632004OTHERILBLUE CROSS BLUE SHIELD
21437205325OTHERILINDIVIDUAL NPI OF LPT
31932214665OTHERILINDIVIDUAL NPI
41730371915OTHERILINDIVIDUAL NPI OF DPT

General Provider Information

NPI Number : 1972727360
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK IN MOTION PHYSICAL THERAPY & SPINE CENTER PC
Provider Business Mailing Address
First Line : PO BOX 362
Second Line : 2900 US HWY 12 SUITE J
City : SPRING GROVE
State : IL
Zip : 60081-0362
Country : US
Telephone Number : 815-675-0699
Fax Number : 815-675-0689
Provider Business Practice Location Address
First Line : 2900 N US HIGHWAY 12 STE J
Second Line :
City : SPRING GROVE
State : IL
Zip : 60081-8322
Country : US
Telephone Number : 815-675-0699
Fax Number : 815-675-0689
Authorized Official
Title or Position : OWNER
Name : SONIA M KWAPISINSKI
Credential : DC
Telephone Number : 815-675-0699
Provider Enumeration Date : 04/13/2007
Last Update Date : 03/04/2008

Similar Medicare Providers

1245256338 — MRS. NATALIE J FROBISH DC
Practice Location Address:
2900 N. US HIGHWAY 12 , SUITE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689
1932214665 — DR. SONIA KWAPISINSKI D.C.
Practice Location Address:
2900 N US HIGHWAY 12 , SUITE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689
1437205325 — MS. SHERYL BAUMGART PT
Practice Location Address:
2900 N US HIGHWAY 12 , SUITE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689
1093971152 — CASEY KETELSEN DPT
Practice Location Address:
2900 N US HIGHWAY 12 STE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689
1073897161 — SPRING EVANS MPT
Practice Location Address:
2900 N US HIGHWAY 12 , SUITE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689
1215446182 — HELEN GONDEK DPT
Practice Location Address:
2900 N US HIGHWAY 12 STE J
SPRING GROVE, IL
60081-8322
Practice Phone: 815-675-0699
Practice Fax: 815-675-0689

Directions to “BACK IN MOTION PHYSICAL THERAPY & SPINE CENTER PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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