Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Back & Spine Medical Institute

Organization Physical Therapist · NPI 1871690081

Back & Spine Medical Institute provides Physical Therapist services in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

5300 N Illinois St
Fairview Heights, IL 62208-3500 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 222-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1871690081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Johnson — Md/Owner · (314) 781-8082
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 16, 2007
Mailing address1836 Lackland Hill Pkwy, Saint Louis, MO 63146-3572

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