GREENVILLE REHAB & PAIN CLINIC SC
NPI 1629197066
Chiropractor in Greenville, IL

Q: What is Greenville Rehab & Pain Clinic Sc's NPI number?

The NPI number for Greenville Rehab & Pain Clinic Sc is 1629197066. It was assigned to this organization in the NPPES registry on March 28, 2007.

Q: What is Greenville Rehab & Pain Clinic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since March 28, 2007

1105 E HARRIS AVE, GREENVILLE, IL 62246(618) 664-4600(618) 664-2136 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Greenville Rehab & Pain Clinic Sc NPPES

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

GREENVILLE REHAB & PAIN CLINIC SC (NPI 1629197066) is a healthcare organization registered as a chiropractor in Greenville, Illinois and active in the NPI registry since March 2007. The organization lists Matthew Ray Chenault, Owner, as its authorized official.

NPPES Registry Identity

NPI1629197066

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGREENVILLE REHAB & PAIN CLINIC SC

Location Address1105 E HARRIS AVEGreenville, IL 62246-2221

Mailing Address1105 E Harris AveGreenville, IL 62246-2221 · (618) 664-4600 · Fax (618) 664-2136

Phone(618) 664-4600

Fax(618) 664-2136

Organization SubpartNo

Authorized OfficialMatthew Ray ChenaultOwner · (618) 664-4600

Enumeration DateMarch 28, 2007

Last NPPES UpdateMarch 9, 2009

✔ NPI 1629197066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 042.618745

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedPhysical TherapistTaxonomy 225100000X · License 042618745 (IL)

1105 E HARRIS AVE, Greenville, IL 62246

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Other Identifiers 2

Other0332010IL · Bcbs

Medicare PIN213144IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenville Rehab & Pain Clinic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Greenville Rehab & Pain Clinic Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Matthew Chenault, D. C.

Chiropractic

NPI 1215027438

1105 E HARRIS AVE
Greenville, IL 62246

(618) 664-4600

✔ Accepts MedicareSame address

Stuart Horin, D.C.

Chiropractic

NPI 1700902533

4965 STONE FALLS CTR SUITE 7
O Fallon, IL 62269

(618) 624-9384

✔ Accepts Medicare37 mi

Susan Hohlt, FNP

Nurse Practitioner

NPI 1255751129

1 CHILDRENS PL DIV PED EMERGENCY MED
Saint Louis, MO 63110

(314) 454-2341

✔ PECOS50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Greenville Rehab & Pain Clinic Sc's NPI number?

The NPI number for Greenville Rehab & Pain Clinic Sc is 1629197066. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Greenville Rehab & Pain Clinic Sc located?

Greenville Rehab & Pain Clinic Sc is located at 1105 E Harris Ave, Greenville, IL 62246. The listed phone number is (618) 664-4600.

What is Greenville Rehab & Pain Clinic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Greenville Rehab & Pain Clinic Sc enrolled in Medicare?

Yes. Greenville Rehab & Pain Clinic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenville Rehab & Pain Clinic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Greenville Rehab & Pain Clinic Sc, in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greenville Rehab & Pain Clinic Sc was last updated on March 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.