NPIMap

Organization Active NPI

Alton Medical Rehabiltation

  • Rehabilitation Chiropractor
  • Alton, IL
National Provider Identifier
1053529537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ALTON MEDICAL REHABILTATION
Practice address
1751 Washington Ave
Alton, IL 62002-4624
Phone
(618) 462-2008
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey John Pfeifer, D.C.NPI 1326261256
Title
President
Phone
(618) 462-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X IL Primary

Addresses

Primary practice location

1751 Washington Ave
Alton, IL 62002-4624

Mailing address

1751 Washington Ave.
Alton, IL 62002-1083
Phone (618) 462-2008

Other identifiers 1

IdentifierTypeStateIssuer
042-6183336OtherILSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1751 Washington Ave
Alton, IL 62002
Phone (618) 462-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053529537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 WASHINGTON AVE.",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620021083",
            "telephone_number": "618-462-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 WASHINGTON AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024624",
            "telephone_number": "618-462-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON MEDICAL REHABILTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFEIFER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-462-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "042-6183336",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.