Med Plus Neck and Back Pain Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MED PLUS NECK AND BACK PAIN CENTER

Practice address

6080 Elaine Drive
Med Plus
Rockford, IL 61108

Phone

(815) 398-0880

Fax

(815) 398-9466

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

David M Girgenti

Title

Owner/Ceo

Phone

(815) 398-0880

Specialties & licenses 1

Addresses

Other names 1

• Med Plus Other name

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427156819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 ELAINE DRIVE",
            "address_2": "MED PLUS",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-398-0880",
            "fax_number": "815-398-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 ELAINE DRIVE",
            "address_2": "MED PLUS",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-398-0880",
            "fax_number": "815-398-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PLUS NECK AND BACK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRGENTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "815-398-0880"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Plus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jenna McPhillips, LCSW
• Daniel J. McQuillan, MD
• Keanlynn M McWilliams, APN
• Sandy Meade, NP
• Jacob Mears, P.T.A.
• Medchoice Medical Center LTD
• Medical Pain Management Services, LTD.
• Chelsea Medina
• Jesse Alexis Medina
• Mediscan Imaging Center of Rockford LLC

• Physical Therapy Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.