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INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O NPI 1306203096


NPI Information

NPI: 1306203096
Provider Name: INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O

Other Name: IMAC REGENERATION CENTER OF ST. LOUIS

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
13353 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 200-4955
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INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O is a sports medicine family medicine in Chesterfield, MO. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O NPI is 1306203096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Imac Regeneration Center Of St. Louis.

The provider's business location address is:

13353 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017-108
Phone: (314) 200-4955
Fax: (314) 682-6001

The provider's authorized official is Theresa Luecke .
The authorized official title is Human Resources and has the following contact phone number (270) 554-5114.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 8/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2111NX0800XChiropractorOrthopedicNo
3207L00000XAnesthesiologyNo
4207XX0005XOrthopaedic SurgerySports MedicineNo
5208100000XPhysical Medicine & RehabilitationNo
6208VP0000XPain MedicinePain MedicineNo
7225100000XPhysical TherapistNo
8225700000XMassage TherapistNo
9225X00000XOccupational TherapistNo
10227800000XRespiratory Therapist, CertifiedNo
11363AM0700XPhysician AssistantMedicalNo
12363LP2300XNurse PractitionerPrimary CareNo
13363LX0106XNurse PractitionerOccupational HealthNo
14207QS0010XFamily MedicineSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.