Active NPI
Neck to Back Springfield LLC
- Physical Therapist
- Springfield, IL
National Provider Identifier
1790730919
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Oct 17, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NECK TO BACK SPRINGFIELD LLC
- Practice address
- 2921 Greenbriar
Suite C
Springfield, IL 62704-6425 - Phone
- (217) 787-9800
- Fax
- (217) 787-9801
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Newman
- Title
- Comptroller
- Phone
- (815) 227-9900
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
2921 Greenbriar
Suite C
Springfield, IL 62704-6425
Mailing address
7177 Crimson Ridge Dr
Suite 14
Rockford, IL 61107-6208
Phone (815) 227-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
3220 Pleasant Run
Springfield, IL 62711
Phone (815) 227-9900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1790730919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 CRIMSON RIDGE DR",
"address_2": "SUITE 14",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076208",
"telephone_number": "815-227-9900",
"fax_number": "891-522-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 GREENBRIAR",
"address_2": "SUITE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046425",
"telephone_number": "217-787-9800",
"fax_number": "217-787-9801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NECK TO BACK SPRINGFIELD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "815-227-9900",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.