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

Back Pain Rehab Center for Treatment of Back Pain LLC

Organization Chiropractor · NPI 1639458094

Back Pain Rehab Center for Treatment of Back Pain LLC provides Chiropractor services in Park Ridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Wortendyke Rd
Park Ridge, NJ 07656-2046 Not confirmed with CMS for 15 years — call before visiting
Phone: (201) 750-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 38MC00430900 (NJ)

Record details

NPI number1639458094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Collazo — Director · (201) 750-7246
Other names Back Pain Rehab Llc
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 16, 2011
Mailing address12 Wortendyke Rd, Park Ridge, NJ 07656-2046

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