Physical Therapist
BACK & SPINE MEDICAL INSTITUTE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1871690081 · enumerated 2006-09-20 · record updated 2007-11-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. RANDY JOHNSON, MD/owner · (314) 781-8082
Addresses and phones
- Mailing address 1836 LACKLAND HILL PKWY, SAINT LOUIS, MO, 63146-3572 (314) 989-0300 Google Maps Apple Maps OpenStreetMap
- Practice location 5300 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL, 62208-3500 (618) 222-2222 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License 070008257 IL
In this directory
Locations and evidence
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Practice location
FAIRVIEW HEIGHTS, IL, 622083500
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.