Inbox Functional Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INBOX FUNCTIONAL REHAB, LLC

Practice address

1099 Milwaukee St
240
Kirkwood, MO 63122-7356

Phone

(314) 822-1502

Fax

(314) 821-9889

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tyler B Bryant, D.C.

Title

Owner

Phone

(618) 322-7347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1235682451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BURGESS LN",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631432801",
            "telephone_number": "618-322-7347",
            "fax_number": "314-932-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST",
            "address_2": "240",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227356",
            "telephone_number": "314-822-1502",
            "fax_number": "314-821-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INBOX FUNCTIONAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-322-7347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.