Backbone Wellness Institute LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

4284 Issued in OH

Legal business name

BACKBONE WELLNESS INSTITUTE LLC

Practice address

9879 Montgomery Rd
Cincinnati, OH 45242-6424

Phone

(513) 891-2111

Fax

(513) 891-2113

NPI assigned

Sep 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clinton J Garda, DCNPI 1417084286

Title

Owner

Phone

(513) 891-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton J Garda, DC

  • Chiropractor
  • Cincinnati, OH
  • NPI 1417084286
  Medicare reassignment NPD Authorized official
• John Musser CH

  • Chiropractor
  • Cincinnati, OH
  • NPI 1790860989
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1104176635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9879 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426424",
            "telephone_number": "513-891-2111",
            "fax_number": "513-891-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9879 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426424",
            "telephone_number": "513-891-2111",
            "fax_number": "513-891-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKBONE WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "GARDA",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-891-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "OH",
            "license": "4284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Back, M.A. CCC-SLP
• Nathan Adam Back
• Nicole Schnabel Back, ANP
• Tina Back, LPC
• Warren Back
• Philippe F Backeljauw, M.D.
• Katherine Backer
• Tiffany Renee Backinger, CNP
• Adam David Backscheider
• Catherine Backstrom, PT

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.

Verify at the official NPI Registry.