Active NPI
Robyn Croutch D C P C
Doing business as Back to Life Chiropractic
- Chiropractor
- Port Washington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010011-1
- Legal business name
- ROBYN CROUTCH D C P C
- Doing business as
- Back to Life Chiropractic
- Practice address
- 8 Haven Ave Ste 223
Port Washington, NY 11050-3636 - Phone
- (516) 754-7118
- Fax
- (516) 944-9644
- NPI assigned
- Nov 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robyn P Croutch, D.C.
- Title
- Owner
- Phone
- (516) 944-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010011-1 | NY | Primary |
Addresses
Primary practice location
8 Haven Ave Ste 223
Port Washington, NY 11050-3636
Mailing address
8 Haven Ave Ste 223
Port Washington, NY 11050-3636
Phone (516) 754-7118
Other names 1
- Back to Life Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 Irma Ave
Port Washington, NY 11050
Phone (516) 869-3338
8 Haven Ave
Ste 223
Port Washington, NY 11050
Phone (516) 754-7118
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Port Washington, NY
- NPI 1861679219
-
- Chiropractor
- Port Washington, NY
- NPI 1013194463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755388800000",
"number": "1063740215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HAVEN AVE STE 223",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503636",
"telephone_number": "516-754-7118",
"fax_number": "516-944-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HAVEN AVE STE 223",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503636",
"telephone_number": "516-754-7118",
"fax_number": "516-944-9644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBYN CROUTCH D C P C",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-30",
"last_updated": "2025-08-17",
"certification_date": "2025-08-17",
"status": "A",
"authorized_official_last_name": "CROUTCH",
"authorized_official_first_name": "ROBYN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-944-4469",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X010011-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Back to Life Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.