Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Back & Spine Medical Institute

Organization Physical Therapist · NPI 1871690081

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

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

5300 N Illinois St
Fairview Heights, IL 62208-3500
Phone: (618) 222-2222
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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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