Active NPI
Amg Physical Rehabilitation, LLC
- Rehabilitation Chiropractor
- St Charles, IL
National Provider Identifier
1831463595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038010382
- Legal business name
- AMG PHYSICAL REHABILITATION, LLC
- Practice address
- 1601 E Main St
Suite D
St Charles, IL 60174-2387 - Phone
- (630) 377-7505
- Fax
- (630) 377-7532
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher A Garn, D.C.
- Title
- Manager-LLC Clinic Director
- Phone
- (630) 338-6131
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038010382 | IL | Primary |
| General Practice Physician | 208D00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Athletic Trainer | 2255A2300X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
1601 E Main St
Suite D
St Charles, IL 60174-2387
Mailing address
1601 E Main St
Suite D
St Charles, IL 60174-2387
Phone (630) 377-7505
National Provider Directory
National Provider DirectoryLocations
1601 E Main St
Ste D
St Charles, IL 60174
Phone (630) 377-7505
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Wheaton, IL
- NPI 1437326790
-
- Chiropractor
- Downers Grove, IL
- NPI 1124293857
-
- Chiropractor
- Princeton, NJ
- NPI 1477787232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334188800000",
"number": "1831463595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E MAIN ST",
"address_2": "SUITE D",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742387",
"telephone_number": "630-377-7505",
"fax_number": "630-377-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E MAIN ST",
"address_2": "SUITE D",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742387",
"telephone_number": "630-377-7505",
"fax_number": "630-377-7532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMG PHYSICAL REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-28",
"last_updated": "2012-04-12",
"status": "A",
"authorized_official_last_name": "GARN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER-LLC CLINIC DIRECTOR",
"authorized_official_telephone_number": "630-338-6131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038010382",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage 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 Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.