HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
NPI 1114057312
Physical Therapist - Electrophysiology, Clinical in O Fallon, IL
NPI Status: Active since March 06, 2007
Contact Information
4965 STONE FALLS CTR
SUITE 7
O FALLON, IL
ZIP 62269
Phone: (618) 624-9384
Fax: (618) 624-9386
- Organization
- Physical Therapist
- Electrophysiology, Clinical
- CLIA Number: 14D1057354
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-08-2026
About HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
This page provides the complete NPI Profile along with additional information for Holistic Chiropractic & Rehabilitation Center, Llc, a provider established in O Fallon, Illinois operating as a Physical Therapist, focusing in electrophysiology, clinical . The healthcare provider is registered in the NPI registry with number 1114057312 assigned on March 2007. The practitioner's primary taxonomy code is 2251E1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Holistic Chiropractic & Rehabilitation Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Joseph F. Lahue (Administrator)
- NPI
- 1114057312
- Provider Name
- HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
- Entity Type
- Organization
- Location Address
- 4965 STONE FALLS CTR SUITE 7 O FALLON, IL 62269
- Location Phone
- (618) 624-9384
- Location Fax
- (618) 624-9386
- Mailing Address
- 4965 STONE FALLS CTR SUITE 7 O FALLON, IL 62269
- Mailing Phone
- (618) 624-9384
- Mailing Fax
- (618) 624-9386
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-06-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Electrophysiology, Clinical
- Taxonomy Code
- 2251E1300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- IL
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | (IL) |
| 2 | 111N00000X | Chiropractic Providers | Chiropractor | (IL) |
| 3 | 111N00000X | Chiropractic Providers | Chiropractor | (IL) |
| 4 | 111N00000X | Chiropractic Providers | Chiropractor | (IL) |
| 5 | 111NN1001X | Chiropractic Providers | Chiropractor | (IL) |
| 6 | 111NN1001X | Chiropractic Providers | Chiropractor | (IL) |
| 7 | 111NN1001X | Chiropractic Providers | Chiropractor | (IL) |
| 8 | 111NN1001X | Chiropractic Providers | Chiropractor | (IL) |
| 9 | 111NR0400X | Chiropractic Providers | Chiropractor | (IL) |
| 10 | 111NR0400X | Chiropractic Providers | Chiropractor | (IL) |
| 11 | 111NR0400X | Chiropractic Providers | Chiropractor | (IL) |
| 12 | 111NR0400X | Chiropractic Providers | Chiropractor | (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08232126 | OTHER (01) | IL | IL BCBS GROUP NUMBER |
| 690962 | OTHER (01) | IL | HEALTHLINK GROUP NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1057354
- Facility Type
- Physician Office
- Certificate Effective Date
- August 09, 2024
- Certificate Expiration Date
- August 08, 2026
- Laboratory Director
- TOMASITA A. LAHUE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Holistic Chiropractic & Rehabilitation Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114057312, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
O FALLON, IL 62269
O FALLON, IL 62269
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114057312, enumerated as an "organization" on March 06, 2007.
The provider is located at 4965 STONE FALLS CTR SUITE 7 O FALLON, IL 62269 and the phone number is (618) 624-9384.
Physical Therapist with taxonomy code 2251E1300X and a focus in Electrophysiology, Clinical.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
