| Back In Motion Physical Therapy & Spine Center Pc | |
|
2900 N Us Highway 12 Ste J, Spring Grove, IL 60081-8322 | |
| (815) 675-0699 | |
| (815) 675-0689 |
| Full Name | Back In Motion Physical Therapy & Spine Center Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2900 N Us Highway 12 Ste J, Spring Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727360 | NPI | - | NPPES |
| 05632004 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1437205325 | Other | IL | INDIVIDUAL NPI OF LPT |
| 1932214665 | Other | IL | INDIVIDUAL NPI |
| 1730371915 | Other | IL | INDIVIDUAL NPI OF DPT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 70015875 (Illinois) | Primary |
| 111N00000X | Chiropractor | (Illinois) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Secondary |
| Provider Name | Sonia M Kwapisinski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932214665 PECOS PAC ID: 9436137700 Enrollment ID: I20040713000049 |
| Provider Name | Darius T Lembert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063450724 PECOS PAC ID: 1557320710 Enrollment ID: I20041005000437 |
| Provider Name | Joy D Gould |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639189301 PECOS PAC ID: 6507997608 Enrollment ID: I20100707000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Motion Physical Therapy & Spine Center Pc Po Box 362, 2900 Us Hwy 12 Suite J, Spring Grove, IL 60081-0362 Ph: (815) 675-0699 | Back In Motion Physical Therapy & Spine Center Pc 2900 N Us Highway 12 Ste J, Spring Grove, IL 60081-8322 Ph: (815) 675-0699 |
Spring Evans, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 N Us Highway 12, Suite J, Spring Grove, IL 60081 Phone: 815-675-0699 Fax: 815-675-0689 | |
Casey Ketelsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 N Us Highway 12 Ste J, Spring Grove, IL 60081 Phone: 815-675-0699 Fax: 815-675-0689 | |
Kyle Lynn Beres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1906 Holian Drive, Spring Grove, IL 60081 Phone: 815-675-0675 Fax: 815-675-9836 | |
Jenny Robbins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Route 12, Suite 101, Spring Grove, IL 60081 Phone: 815-675-0675 | |
Ms. Sheryl Baumgart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 N Us Highway 12, Suite J, Spring Grove, IL 60081 Phone: 815-675-0699 Fax: 815-675-0689 | |
Marie Claire Yvo Garduque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1906 Holian Drive, Spring Grove, IL 60081 Phone: 815-675-0675 Fax: 815-675-9836 | |
Cindy Leprich-gort, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10814 E Riviera Dr, Spring Grove, IL 60081 Phone: 847-561-9630 |