OrganizationActive
Back Pain Rehab Center for Treatment of Back Pain LLC
NPI 1639458094 · Chiropractor · Park Ridge, NJ
Back Pain Rehab Center for Treatment of Back Pain LLC is a Chiropractor organization in Park Ridge, NJ (NPI 1639458094).
Provider details
- NPI number
- 1639458094
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Glenn Collazo, Director(201) 750-7246
- License
- 38MC00430900 (NJ)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Wortendyke Rd
Park Ridge, NJ 07656-2046
Phone: (201) 750-7246
Street-level locationGet directions
Mailing address
12 Wortendyke Rd
Park Ridge, NJ 07656-2046
Other names (DBA / former)
- Doing business as
- Back Pain Rehab LLC
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2011-08-16
Frequently asked questions
- What is Back Pain Rehab Center for Treatment of Back Pain LLC's NPI number?
- Back Pain Rehab Center for Treatment of Back Pain LLC's National Provider Identifier (NPI) is 1639458094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Pain Rehab Center for Treatment of Back Pain LLC?
- Back Pain Rehab Center for Treatment of Back Pain LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Back Pain Rehab Center for Treatment of Back Pain LLC located?
- Back Pain Rehab Center for Treatment of Back Pain LLC's practice location on file with NPPES is 12 Wortendyke Rd, Park Ridge, NJ 07656-2046.
- What is Back Pain Rehab Center for Treatment of Back Pain LLC's phone number?
- The practice phone number listed in the NPPES registry for Back Pain Rehab Center for Treatment of Back Pain LLC is (201) 750-7246.
- Who is the authorized official for Back Pain Rehab Center for Treatment of Back Pain LLC?
- The authorized official listed on Back Pain Rehab Center for Treatment of Back Pain LLC's NPPES record is Glenn Collazo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Pain Rehab Center for Treatment of Back Pain LLC's NPI active?
- Yes — Back Pain Rehab Center for Treatment of Back Pain LLC's NPI (1639458094) is active in the NPPES registry as of the last update on 2011-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.