Back to Health PT, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-011463 Issued in IL

Legal business name

BACK TO HEALTH PT, PLLC

Practice address

11824 Southwest Hwy Ste 200
Palos Heights, IL 60463-2662

Phone

(708) 923-1919

Fax

(708) 923-9922

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Renee Spinella, PT, DPT, CERT MDT

Title

PT/Manager

Phone

(773) 491-3507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1720579170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 SUNSET RIDGE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624922",
            "telephone_number": "773-491-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 SOUTHWEST HWY STE 200",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632662",
            "telephone_number": "708-923-1919",
            "fax_number": "708-923-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "SPINELLA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PT/MANAGER",
        "authorized_official_telephone_number": "773-491-3507",
        "authorized_official_credential": "PT, DPT, CERT MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.