IMAC REGENERATION CENTER OF ST. LOUIS
NPI 1306203096
Family Medicine - Sports Medicine in Chesterfield, MO

NPI Status: Active since January 26, 2016

Contact Information

13353 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 200-4955
Fax: (314) 682-6001

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Sports Medicine

About IMAC REGENERATION CENTER OF ST. LOUIS

This page provides the complete NPI Profile along with additional information for Imac Regeneration Center Of St. Louis, a primary care provider established in Chesterfield, Missouri operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1306203096 assigned on January 2016. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Imac Regeneration Center Of St. Louis operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Imac Regeneration Center Of St. Louis. The authorized official of this NPI record is Theresa Luecke (Human Resources)

NPI
1306203096
Provider Legal Name
INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O
Other Organization Name
IMAC REGENERATION CENTER OF ST. LOUIS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
13353 OLIVE BLVD CHESTERFIELD, MO 63017
Location Phone
(314) 200-4955
Location Fax
(314) 682-6001
Mailing Address
2725 JAMES SANDERS BLVD SUITE A PADUCAH, KY 42001
Mailing Phone
(314) 200-4955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2016
Last Update Date
08-19-2020
Code Navigator

A primary care provider (PCP) like Imac Regeneration Center Of St. Louis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 263 Salt Lick Rd
    Saint Peters, MO 63376
    (314) 200-4955

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

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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)
1111N00000XChiropractic Providers

Chiropractor

 
2111NX0800XChiropractic Providers

Chiropractor
Orthopedic

 
3207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
4207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 
5208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
6208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
7225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
8225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

 
9225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
10227800000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Respiratory Therapist, Certified

 
11363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
12363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 
13363LX0106XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Occupational Health

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THERESA LUECKE

Authorized Official Title
HUMAN RESOURCES
Authorized Official Phone
(270) 554-5114

Reviews for IMAC REGENERATION CENTER OF ST. LOUIS

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 1306203096, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 2 → 4 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 4 + 0 + 6 + 0 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306203096.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Physical Therapist
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Clinic/Center (Multi-Specialty)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Physician Assistant
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Emergency Medicine (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Orthopaedic Surgery (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Physical Medicine & Rehabilitation (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306203096, enumerated as an "organization" on January 26, 2016.

The provider is located at 13353 OLIVE BLVD CHESTERFIELD, MO 63017 and the phone number is (314) 200-4955.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.