NPIMap

Organization Active NPI

Family Spinal Health and Rehabilitation Center, Inc.

Doing business as Precision Health Group

  • Chiropractor
  • Bridgeton, MO
National Provider Identifier
1649447996
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY SPINAL HEALTH AND REHABILITATION CENTER, INC.
Doing business as
Precision Health Group
Practice address
3452 McKelvey Rd
Bridgeton, MO 63044-2533
Phone
(314) 739-8841
Fax
(314) 739-6043
NPI assigned
May 14, 2008
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Dr. Matthew B Lytle, D.C.NPI 1700886561
Title
President
Phone
(314) 739-8841

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3452 McKelvey Rd
Bridgeton, MO 63044-2533

Mailing address

3452 McKelvey Rd
Bridgeton, MO 63044-2533
Phone (314) 739-8841

Other names 1

  • Precision Health Group Doing business as

National Provider Directory

National Provider Directory

Locations

3452 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 739-8841

Practitioners & affiliated clinicians

Practitioners 2

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1649447996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442533",
            "telephone_number": "314-739-8841",
            "fax_number": "314-739-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442533",
            "telephone_number": "314-739-8841",
            "fax_number": "314-739-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SPINAL HEALTH AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-739-8841",
        "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": [
        {
            "organization_name": "Precision Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.