BACK TO HEALTH — NPI 1164646410 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation in BEACON, NY)

CMS-1500 Box 24J / 33a • NPI

1164646410

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NR0400X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation

Box 32 Service Location & ZIP+4

332 MAIN ST, BEACON, NY, 12508-3019

✓ 9-Digit EDI 837 ZIP+4 (12508-3019)

Practice Phone & Referral Fax

(845) 440-0770

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164646410 (BACK TO HEALTH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164646410` (NPI-2 Organization / Facility)
Provider / Legal Name	BACK TO HEALTH
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation NUCC Code: `111NR0400X` (Chiropractor, Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	332 MAIN ST, BEACON, NY, 12508-3019
Practice Telephone / Fax	Tel: (845) 440-0770
Administrative Mailing Address	332 MAIN ST, BEACON, NY, 12508-3019
Enumeration & Last Sync	Enumerated: 2007-04-11 \| CMS Record Updated: 2008-07-24
Authorized Official	ROSEANN MCCAULEY (Secretary)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

332 MAIN ST, BEACON, NY, 12508-3019

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Plain-English Taxonomy & CMS Crosswalk (111NR0400X)

What Does Taxonomy Code 111NR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0400X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BACK TO HEALTH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NR0400X` — Chiropractor, Rehabilitation Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation	State: NY \| License: `X010372-1` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BACK TO HEALTH (NPI #1164646410)