Spine and Body Renewal PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE AND BODY RENEWAL PLLC

Practice address

4350 Morsay Dr
Rockford, IL 61107-4877

Phone

(815) 398-4500

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Hannah Orem, DCNPI 1619307949

Title

Owner

Phone

(815) 398-4500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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

• Hannah Alayne Orem, D.C.

  • Chiropractor
  • Rockford, IL
  • NPI 1619307949
  Medicare reassignment Care Compare group NPD Authorized official
• Kierra Ridder

  • Chiropractor
  • Rockford, IL
  • NPI 1477438794
  Medicare reassignment Care Compare group NPD
• Gabriel Douglas Orem, OTR/L

  • Occupational Therapist
  • Minnetonka, MN
  • NPI 1649739103

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1417715285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074877",
            "telephone_number": "815-398-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074877",
            "telephone_number": "815-398-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND BODY RENEWAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "OREM",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-398-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Renae Braun Spiezia, MD
• Michaela Spillare
• Spinal Rehabilitation and Wellness Clinic, LLC
• Ashley C Spindler, PA-C
• Leah Carol Spindler, LPC
• Kathryn A Spinker, APRN
• Spiros K. Analitis, M.D.,P.C.
• Springwood Nursing and Rehabilitation Center LLC
• Patience Ariana Sprow, OTR/L
• Manoj Sreedharan, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.