Active NPI
Ellisville Chiropractic, Injury and Pain Clinic,LLC
- Rehabilitation Chiropractor
- Ellisville, MO
National Provider Identifier
1962525162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2001025911
- Legal business name
- ELLISVILLE CHIROPRACTIC, INJURY AND PAIN CLINIC,LLC
- Practice address
- 16075 Manchester Rd
Ellisville, MO 63011-2103 - Phone
- (636) 256-0880
- Fax
- (636) 256-9153
- NPI assigned
- Apr 10, 2007
- 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. Laura Anne Belmar, D.C.
- Title
- Partner
- Phone
- (636) 256-0880
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 006517 | MO | |
| Rehabilitation Chiropractor | 111NR0400X | 2001025911 | MO | Primary |
| Physical Therapist | 225100000X | 2004030104 | MO |
Addresses
Primary practice location
16075 Manchester Rd
Ellisville, MO 63011-2103
Mailing address
16075 Manchester Rd
Ellisville, MO 63011-2103
Phone (636) 256-0880
Other names 1
- ELLISVILLE CHIROPRACTIC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Naples, FL
- NPI 1346375821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1962525162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16075 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "636-256-0880",
"fax_number": "636-256-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16075 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "636-256-0880",
"fax_number": "636-256-9153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLISVILLE CHIROPRACTIC, INJURY AND PAIN CLINIC,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BELMAR",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "636-256-0880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "006517",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "2001025911",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004030104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELLISVILLE CHIROPRACTIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.