TUCKER NECK AND BACK, LLC (NPI# 1134355779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134355779 |
| Entity Type | Organization |
| Organization Name | TUCKER NECK AND BACK, LLC |
| Practice Address |
4880 Lawrenceville Hwy Suite 13 Tucker GA 30084-2938 |
| Practice Telephone | 7706215585 |
| Practice Fax Number | 7704147355 |
| Mailing Telephone | 7706215585 |
| Mailing Fax Number | 7704147355 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | DR. TONY L BANGUILAN (CEO) |
| Authorized Official Telephone | 7706215585 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR0006452 | GA | Chiropractic Providers |
| Street Address |
4880 LAWRENCEVILLE HWY SUITE 13 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343838 | Lorenil Hencock | Chiropractor | 4880 Lawrenceville Hwy, Tucker, GA 30084-2938 | 2020-07-20 |
| 1124345475 | Hamrawit Tsegaye | Mechanotherapist | 4880 Lawrenceville Hwy, Suite 13, Tucker, GA 30084-2938 | 2010-04-27 |
| 1740515659 | Eileen Flook | Chiropractor | 4880 Lawrenceville Hwy, Suite 13, Tucker, GA 30084-2938 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902357 | Dana G Piccirillo | Chiropractor | 2181 Northlake Pkwy, Building 6 Suite 120, Tucker, GA 30084-4107 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897196 | Precision Spine & Body Restoration | Chiropractor | 2500 Old Alabama Rd Ste 20, Roswell, GA 30076-2400 | 2020-10-08 |
| 1982218087 | Tiara Eady | Chiropractor | 2605 Paces Rdg Apt A, Atlanta, GA 30339-4037 | 2020-09-04 |
| 1245898345 | Edgardo J Salas-robles | Chiropractor | 715 S Thornton Ave, Dalton, GA 30720-8213 | 2019-06-04 |
| 1255807855 | Vitality Rehab & Wellness Centers | Chiropractor | 1115 Mount Zion Rd Ste 15, Morrow, GA 30260-2241 | 2018-10-22 |
| 1063904340 | Rhonda Williams | Chiropractor | 1544 Southlake Pkwy Ste 9d, Morrow, GA 30260-3025 | 2018-06-03 |
| 1770072407 | Chirocare Rehabilitation | Chiropractor | 9374 S Main St, Jonesboro, GA 30236-6022 | 2018-05-08 |
| 1598274656 | Sveinn Bjornsson | Chiropractor | 17 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7418 | 2017-09-21 |
| 1235679721 | Evans Injury Chiropractic LLC | Chiropractor | 807 Oakhurst Dr, Suite A, Evans, GA 30809-3713 | 2017-03-02 |
| 1205389574 | Gerald Antoine | Chiropractor | 130 Allen Rd, Suite D, Sandy Springs, GA 30328-4944 | 2016-08-03 |
| 1811342413 | Medipractic LLC | Chiropractor | 3955 Harrison Road, Suite 400, Loganville, GA 30052-8502 | 2016-05-02 |
| Find all providers with the same taxonomy | ||||
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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.