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Back & Spine Medical Institute

Physical Therapist in Fairview Heights, IL · enumerated 2006 · authorized official Randy Johnson, MD/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871690081

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Registry record

Entity type Organization (Type 2)
Legal business name Back & Spine Medical Institute
Practice address 5300 N Illinois St, Fairview Heights, IL, 62208
Phone (618) 222-2222
Enumeration date Sep 20, 2006
Last updated in NPPES Nov 16, 2007

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Randy Johnson
Title MD/Owner
Phone (314) 781-8082

Other identifiers

Identifier Type State Issuer
DE2495 Other IL RR MEDICARE GROUP#

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Back & Spine Medical Institute?
NPPES lists Randy Johnson (MD/Owner) as the authorized official for this organization.
What is the NPI number for Back & Spine Medical Institute?
The NPI for Back & Spine Medical Institute is 1871690081, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-16.