Backstrong Non-Surgical Rehab Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH002767 Issued in GA

Legal business name

BACKSTRONG NON-SURGICAL REHAB CLINIC

Practice address

2771 Lawrenceville Hwy Ste 101
Decatur, GA 30033-2500

Phone

(404) 558-4015

Fax

(770) 908-0463

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Craig John Castanet, D.C.NPI 1124012612

Title

Doctor/Director

Phone

(404) 558-4015

Specialties & licenses 1

Addresses

Locations

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

• Craig John Castanet, D.C.

  • Chiropractor
  • Decatur, GA
  • NPI 1124012612
  NPD Authorized official
• David Glen Moore, P.T.

  • Physical Therapist
  • Alpahretta, GA
  • NPI 1457398786
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1508062183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 BRIARLAKE TRCE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453670",
            "telephone_number": "404-558-4015",
            "fax_number": "770-908-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 LAWRENCEVILLE HWY STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332500",
            "telephone_number": "404-558-4015",
            "fax_number": "770-908-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKSTRONG NON-SURGICAL REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "CASTANET",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "404-558-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CH002767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B.Juld Diversified Transportation, LLC
• Abbey Morgan Baalerud, NP
• Alexey Viktorovich Babak, MD, PHD
• Babkay Homecare Services, LLC
• Backcountry Fins Inc
• Carol Anne Bacon
• Dan Edward Bacon, RD,LD
• Mary Joyce Bacon
• Bjorn Erik Bade
• Thomas Keen Badger, RN

• All providers in Decatur, GA
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.