Neck to Back Peoria LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NECK TO BACK PEORIA LLC

Practice address

5105 N Glen Park Place Rd
Peoria, IL 61614-4688

Phone

(309) 691-9300

Fax

(309) 691-9403

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Newman

Title

Comptroller

Phone

(815) 227-9900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 5

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

• Jason Croxford, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1922093467
  NPD (past)
• Bruce Anderson Demont, MD

  • Family Medicine Physician
  • Lincoln, IL
  • NPI 1114971652
  NPD (past)
• Julie Ann Lofthouse

  • Physical Therapist
  • Peoria, IL
  • NPI 1265470538
  NPD (past)
• Brenda Zohner, NP

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1063407500
  NPD (past)
• David Serafini, MD

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1316991052
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164475976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 CRIMSON RIDGE DR",
            "address_2": "SUITE 14",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076208",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 N GLEN PARK PLACE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144688",
            "telephone_number": "309-691-9300",
            "fax_number": "309-691-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK TO BACK PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "815-227-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Youth Advocate Program
• National Youth Advocate Program, Inc
• National Youth Advocate Program, Inc
• Nationalhealthcareinc
• Natural Balance Wellness Center
• Allen Lynn Neese, M.D., PH.D.
• Angela Lynn Neese, PHD
• Addison Marie Neff, LPC
• Katie Neidetcher, LCPC
• Neighborhood House Association

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.