PRIMAL CHIROPRACTIC AND REHABILITATION PLLC
NPI 1053071811
Chiropractor - Rehabilitation in Lanark, IL

Active since December 21, 2021
411 S BROAD ST, LANARK, IL 61046(815) 238-1250 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primal Chiropractic And Rehabilitation Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMAL CHIROPRACTIC AND REHABILITATION PLLC (NPI 1053071811) is a healthcare organization registered as a rehabilitation in Lanark, Illinois and active in the NPI registry since December 2021. The organization lists Clayton Ruter, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1053071811
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NamePRIMAL CHIROPRACTIC AND REHABILITATION PLLC
Location Address411 S BROAD STLanark, IL 61046-1209
Mailing Address411 S Broad StLanark, IL 61046-1209
Organization SubpartNo
Authorized OfficialClayton RuterChiropractor · (815) 238-1250
Enumeration DateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1053071811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
411 S BROAD ST, Lanark, IL 61046

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
411 S BROAD ST
LANARK, IL 61046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primal Chiropractic And Rehabilitation PLLC's NPI number?

The NPI number for Primal Chiropractic And Rehabilitation PLLC is 1053071811. It was assigned to this organization in the NPPES registry on December 21, 2021.

Where is Primal Chiropractic And Rehabilitation PLLC located?

Primal Chiropractic And Rehabilitation PLLC is located at 411 S Broad St, Lanark, IL 61046. The listed phone number is (815) 238-1250.

What is Primal Chiropractic And Rehabilitation PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

When was this NPI record last updated?

The NPPES record for Primal Chiropractic And Rehabilitation PLLC was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.