Organization Active NPI

Spring Back Chiropractic, PLLC

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1952038382
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPRING BACK CHIROPRACTIC, PLLC
Practice address
28 Clinton St
Saratoga Springs, NY 12866-2391
Phone
(518) 886-9572
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Andrew James Sorensen, DCNPI 1053952705
Title
Owner/Chiropractor
Phone
(518) 886-9572

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

28 Clinton St
Saratoga Springs, NY 12866-2391

Mailing address

28 Clinton St
Saratoga Springs, NY 12866-2391
Phone (315) 717-9884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220919001634 NY Part B Supplier - Clinic/Group Practice 6507241122 Receives reassigned benefits from 2 practitioners
Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

28 Clinton St
Saratoga Springs, NY 12866
Phone (518) 466-1075

Practitioners & affiliated clinicians

Practitioners 2

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": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1952038382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "315-717-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "518-886-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BACK CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "518-886-9572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.