MID-AMERICA SPINE & REHAB LLC
NPI 1770647869
Chiropractor - Rehabilitation in Des Peres, MO

Active since December 21, 2006
1030 OLD DES PERES RD, DES PERES, MO 63131(314) 966-8989(314) 966-0001 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2020, Jul 21, 2019 (2 updates tracked since 2019).

About Mid-america Spine & Rehab Llc NPPES

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

MID-AMERICA SPINE & REHAB LLC (NPI 1770647869) is a healthcare organization registered as a rehabilitation in Des Peres, Missouri and active in the NPI registry since December 2006. The organization lists Robert Bruce Einertson, Administrator Owner, as its authorized official.

NPPES Registry Identity

NPI1770647869
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameMID-AMERICA SPINE & REHAB LLC
Location Address1030 OLD DES PERES RDDes Peres, MO 63131-1865
Mailing Address1030 Old Des Peres RdDes Peres, MO 63131-1865 · (314) 966-8989 · Fax (314) 966-0001
Fax(314) 966-0001
Organization SubpartNo
Authorized OfficialRobert Bruce EinertsonAdministrator Owner · (314) 966-8989
Enumeration DateDecember 21, 2006
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1770647869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in MO · 5905
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 01530 (MO)
1030 OLD DES PERES RD, Des Peres, MO 63131

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-america Spine & Rehab Llc 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 Mid-America Spine & Rehab LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1417968967
1030 OLD DES PERES RD
Des Peres, MO 63131
(314) 966-8989
✔ Accepts MedicareSame 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 Mid-America Spine & Rehab LLC's NPI number?

The NPI number for Mid-America Spine & Rehab LLC is 1770647869. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Mid-America Spine & Rehab LLC located?

Mid-America Spine & Rehab LLC is located at 1030 Old Des Peres Rd, Des Peres, MO 63131. The listed phone number is (314) 966-8989.

What is Mid-America Spine & Rehab LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Mid-America Spine & Rehab LLC enrolled in Medicare?

Yes. Mid-America Spine & Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-America Spine & Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mid-America Spine & Rehab LLC. 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.

What insurance does Mid-America Spine & Rehab LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mid-America Spine & Rehab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-America Spine & Rehab LLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.