1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Chiropractor
  6. NPI Profile

MIDWEST SPINE & SPORT CHIROPRACTIC
NPI 1336460385
Chiropractor - Rehabilitation in O Fallon, IL

Active since June 14, 2010
1210 PARAGON DR, SUITE 1B, O FALLON, IL 62269(618) 973-5522 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Spine & Sport Chiropractic NPPES

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

MIDWEST SPINE & SPORT CHIROPRACTIC (NPI 1336460385) is a healthcare organization registered as a rehabilitation in O Fallon, Illinois and active in the NPI registry since June 2010. The organization lists Kristi Kay Dieckmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1336460385
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameMIDWEST SPINE & SPORT CHIROPRACTIC
Location Address1210 PARAGON DR, SUITE 1BO Fallon, IL 62269-1773
Mailing Address1210 Paragon Dr, Suite 1bO Fallon, IL 62269-1773
Phone(618) 973-5522
Organization SubpartNo
Authorized OfficialKristi Kay DieckmannOwner · (618) 973-5522
Enumeration DateJune 14, 2010
✔ NPI 1336460385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in IL · 038.011634
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.
1210 PARAGON DR, O Fallon, IL 62269
Open in Google Maps ↗

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.

DR. KRISTI KAY DIECKMANN D.C., M.S.
Chiropractor (Rehabilitation)
1210 PARAGON DR, SUITE 1B
O FALLON, IL 62269
St. Clair County (618) 973-5522

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 Midwest Spine & Sport Chiropractic's NPI number?

The NPI number for Midwest Spine & Sport Chiropractic is 1336460385. It was assigned to this organization in the NPPES registry on June 14, 2010.

Where is Midwest Spine & Sport Chiropractic located?

Midwest Spine & Sport Chiropractic is located at 1210 Paragon Dr Suite 1B, O Fallon, IL 62269. The listed phone number is (618) 973-5522.

What is Midwest Spine & Sport Chiropractic'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 Midwest Spine & Sport Chiropractic was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.