Organization Active NPI

Spine & Back Recovery Inc

  • Spinal Cord Injury Medicine Physician
  • Troy, MI
National Provider Identifier
1992274450
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
Legal business name
SPINE & BACK RECOVERY INC
Practice address
1975 E Maple Rd
Troy, MI 48083-4214
Phone
(313) 550-8087
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Muhammad Abraham, MD
Title
C.E.O
Phone
(313) 550-8087

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

1975 E Maple Rd
Troy, MI 48083-4214

Mailing address

1975 E Maple Rd
Troy, MI 48083-4214
Phone (313) 550-8087

National Provider Directory

National Provider Directory

Locations

1975 E Maple Rd
Troy, MI 48083
Phone (313) 550-8087

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1992274450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834214",
            "telephone_number": "313-550-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834214",
            "telephone_number": "313-550-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & BACK RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "313-550-8087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.