NPIMap

Organization Active NPI

Spinal Rehabilitation and Wellness Clinic, LLC

Doing business as Neck to Back Medical Clinic

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1376789545
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036037810 Issued in IL
Legal business name
SPINAL REHABILITATION AND WELLNESS CLINIC, LLC
Doing business as
Neck to Back Medical Clinic
Practice address
7177 Crimson Ridge Dr
Ste 7
Rockford, IL 61107-6235
Phone
(815) 227-9900
Fax
(815) 227-9804
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Don Hinderliter, M.D.
Title
Medical Director
Phone
(815) 227-9900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038003512 IL
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 038009573 IL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036037810 IL Primary

Addresses

Primary practice location

7177 Crimson Ridge Dr
Ste 7
Rockford, IL 61107-6235

Mailing address

7177 Crimson Ridge Dr
Ste 7
Rockford, IL 61107-6235
Phone (815) 227-9900

Other names 1

  • Neck to Back Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7177 Crimson Ridge Dr
Ste 7
Rockford, IL 61107
Phone (815) 227-9900

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1376789545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 CRIMSON RIDGE DR",
            "address_2": "STE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076235",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 CRIMSON RIDGE DR",
            "address_2": "STE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076235",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHABILITATION AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "HINDERLITER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-227-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003512",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038009573",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036037810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neck to Back Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.