NPIMap

Organization Active NPI

Apmstc LLC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1093552192
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
APMSTC LLC
Practice address
40W201 Wasco Rd Ste a-B
St Charles, IL 60175-8509
Phone
(630) 377-7788
Fax
(630) 377-7802
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Andrew Glenn, DCNPI 1518139906
Title
President
Phone
(303) 777-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

40W201 Wasco Rd Ste a-B
St Charles, IL 60175-8509

Mailing address

40W201 Wasco Rd Ste a-B
St Charles, IL 60175-8509
Phone (630) 377-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820002808 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416495569 Receives reassigned benefits from 2 practitioners
Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Locations

40W201 Wasco Rd
Ste Ab
St Charles, IL 60175
Phone (630) 377-7788

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1093552192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD STE A-B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD STE A-B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APMSTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-777-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.