Organization Active NPI

Dynamic Rehab LLC

  • Rehabilitation Chiropractor
  • Saint Louis, MO
National Provider Identifier
1942129564
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
DYNAMIC REHAB LLC
Practice address
10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930
Phone
(810) 434-6210
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. Parker Grundman, D.C.
Title
Chiropractor
Phone
(810) 434-6210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930

Mailing address

10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930
Phone (810) 434-6210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1942129564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "810-434-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "810-434-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "GRUNDMAN",
        "authorized_official_first_name": "PARKER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "810-434-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.