LONGEVITY HEALTH AND FITNESS, INC.
NPI 1639700776
Chiropractor in St Charles, IL

Q: What is Longevity Health And Fitness, Inc.'s NPI number?

The NPI number for Longevity Health And Fitness, Inc. is 1639700776. It was assigned to this organization in the NPPES registry on January 28, 2020. The provider is doing business as Longevity Health and Fitness.

Q: What is Longevity Health And Fitness, Inc.'s specialty?

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

Active since January 28, 2020

1150 N 5TH AVE STE B2, ST CHARLES, IL 60174(331) 248-0695(331) 240-1333 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Jan 28, 2020 (2 updates tracked since 2020).

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About Longevity Health And Fitness, Inc. NPPES

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

LONGEVITY HEALTH AND FITNESS, INC. (NPI 1639700776), doing business as Longevity Health And Fitness, is a healthcare organization registered as a chiropractor in St Charles, Illinois and active in the NPI registry since January 2020. The organization lists Robert C. Gregory, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1639700776

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLONGEVITY HEALTH AND FITNESS, INC.

Location Address1150 N 5TH AVE STE B2St Charles, IL 60174-1277

Mailing Address1150 N 5th Ave Ste B2St Charles, IL 60174-1277 · (331) 248-0695 · Fax (331) 240-1333

Phone(331) 248-0695

Fax(331) 240-1333

Organization SubpartNo

Authorized OfficialRobert C. GregoryOwner/president · (331) 248-0695

Enumeration DateJanuary 28, 2020

Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1639700776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

1150 N 5TH AVE STE B2, St Charles, IL 60174

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Other Names 1

Doing Business AsLongevity Health And Fitness

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 MULTIPLE SINGLE 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)

Longevity Health And Fitness, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Longevity Health And Fitness, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Gregory, DC

Chiropractic

NPI 1205137627

1150 N 5TH AVE STE B2
St Charles, IL 60174

(331) 248-0695

Same address

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 Longevity Health And Fitness, Inc.'s NPI number?

The NPI number for Longevity Health And Fitness, Inc. is 1639700776. It was assigned to this organization in the NPPES registry on January 28, 2020. The provider is doing business as Longevity Health and Fitness.

Where is Longevity Health And Fitness, Inc. located?

Longevity Health And Fitness, Inc. is located at 1150 N 5th Ave Ste B2, St Charles, IL 60174. The listed phone number is (331) 248-0695.

What is Longevity Health And Fitness, Inc.'s specialty?

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

Is Longevity Health And Fitness, Inc. enrolled in Medicare?

Yes. Longevity Health And Fitness, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Health And Fitness, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Longevity Health And Fitness, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Longevity Health And Fitness, Inc. was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.