Organization Active NPI

Chiropractic Care & Sports Rehab, Inc.

  • Sports Physician Chiropractor
  • Creve Coeur, MO
National Provider Identifier
1841457124
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
CHIROPRACTIC CARE & SPORTS REHAB, INC.
Practice address
12401 Olive Blvd
Suite 101
Creve Coeur, MO 63141-5448
Phone
(314) 439-5548
Fax
(314) 439-5766
NPI assigned
May 22, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Gina Scognamiglio Reid, D.C., C.C.S.P
Title
Owner/President
Phone
(314) 439-5548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X MO Primary

Addresses

Primary practice location

12401 Olive Blvd
Suite 101
Creve Coeur, MO 63141-5448

Mailing address

12401 Olive Blvd
Suite 101
Creve Coeur, MO 63141-5448
Phone (314) 439-5548

National Provider Directory

National Provider Directory

Locations

12401 Olive Blvd
Ste 101
Saint Louis, MO 63141
Phone (314) 439-5548

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1841457124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD",
            "address_2": "SUITE 101",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-439-5548",
            "fax_number": "314-439-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD",
            "address_2": "SUITE 101",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-439-5548",
            "fax_number": "314-439-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE & SPORTS REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "SCOGNAMIGLIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "314-439-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.