NPIMap

Organization Active NPI

Back & Body Chiropractic LLC

  • Chiropractor
  • Dayville, CT
National Provider Identifier
1699046474
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1905 Issued in CT
Legal business name
BACK & BODY CHIROPRACTIC LLC
Practice address
24 Putnam Pike
Unit 3
Dayville, CT 06241-1608
Phone
(860) 412-9016
NPI assigned
Jan 25, 2012
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Alexandra Lee Fandetti-Robin, D.C.NPI 1700115466
Title
Practice Owner / Chiropractor
Phone
(860) 412-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1905 CT Primary

Addresses

Primary practice location

24 Putnam Pike
Unit 3
Dayville, CT 06241-1608

Mailing address

24 Putnam Pike Ste 3
Dayville, CT 06241-1647
Phone (860) 412-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000581 CT Part B Supplier - Clinic/Group Practice 3274793922 Receives reassigned benefits from 3 practitioners
Practice locations: Dayville, CT

National Provider Directory

National Provider Directory

Locations

24 Putnam Pike
Ste 3
Dayville, CT 06241
Phone (860) 382-5401

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1699046474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PUTNAM PIKE STE 3",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411647",
            "telephone_number": "860-412-9016",
            "fax_number": "860-412-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PUTNAM PIKE",
            "address_2": "UNIT 3",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411608",
            "telephone_number": "860-412-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & BODY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FANDETTI-ROBIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "860-412-9016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.