BACK TO HEALTH CLINIC SC (NPI# 1184746984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184746984 |
| Entity Type | Organization |
| Organization Name | BACK TO HEALTH CLINIC SC |
| Practice Address |
511 N Brush College Rd Decatur IL 62521-1652 |
| Practice Telephone | 2172330650 |
| Practice Fax Number | 2172335082 |
| Mailing Telephone | 2172330650 |
| Mailing Fax Number | 2172335082 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH LEWIS FABRIQUE (PRESIDENT) |
| Authorized Official Telephone | 2172330650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | IL | Allopathic & Osteopathic Physicians |
| Street Address |
511 N BRUSH COLLEGE RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952656399 | Gaurav Kumar Rajput | Physical Medicine & Rehabilitation | 2675 N Decatur Rd Ste 401, Decatur, GA 30033-6133 | 2012-07-23 |
| 1144530155 | Jeannie Blom Md PC | Physical Medicine & Rehabilitation | 2722 N. Decatur, Decatur, GA 30033 | 2010-10-13 |
| 1518108646 | Mmg, LLC | Physical Medicine & Rehabilitation | 207 Commerce Cir Sw, Ste A, Decatur, AL 35601-6839 | 2009-03-19 |
| 1750585600 | Christian Boyce Helm | Physical Medicine & Rehabilitation | 1713 S. Fm 51, #103, Decatur, TX 76234 | 2007-06-13 |
| 1114070505 | Ralph D'auria | Physical Medicine & Rehabilitation | 1452 Church St, Decatur, GA 30030-1526 | 2007-01-19 |
| 1548291750 | Amod O Sureka | Physical Medicine & Rehabilitation | 2675 N Decatur Rd Ste 110, Decatur, GA 30033-6130 | 2006-07-05 |
| 1639123136 | Payal M Fadia | Physical Medicine & Rehabilitation | 1942 Clairmont Rd, Decatur, GA 30033-3406 | 2006-05-19 |
| 1942540380 | Joon-whee Kim | Physical Medicine & Rehabilitation | 1376 Church St, Decatur, GA 30030-1519 | 2013-02-21 |
| 1568729713 | Christopher J Williams | Physical Medicine & Rehabilitation | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2012-04-12 |
| 1417264946 | Cbh Physical Medicine & Rehabilitation, P.a. | Physical Medicine & Rehabilitation | 1713 S Fm 51, 103, Decatur, TX 76234-3642 | 2010-09-03 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.