1. Home
  2. Directory
  3. Missouri
  4. Saint Peters
  5. Clinic Center
  6. NPI Profile

CARDINAL PHYSICAL MEDICINE
NPI 1891090395
Clinic/Center in Saint Peters, MO

Active since January 14, 2011
1404 TRIAD CENTER DR, SAINT PETERS, MO 63376(636) 352-0380(636) 352-2343 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cardinal Physical Medicine NPPES

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

CARDINAL PHYSICAL MEDICINE (NPI 1891090395) is a healthcare organization registered as a clinic/center in Saint Peters, Missouri and active in the NPI registry since January 2011. The organization lists Richard Wayne Blalock, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1891090395
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACTIVE FAMILY CHIROPRACTIC, LLC
Location Address1404 TRIAD CENTER DRSaint Peters, MO 63376-7351
Mailing Address1404 Triad Center DrSaint Peters, MO 63376-7351 · (636) 352-0380 · Fax (636) 352-2343
Phone(636) 352-0380
Fax(636) 352-2343
Organization SubpartNo
Authorized OfficialRichard Wayne BlalockMember/manager · (636) 352-0380
Enumeration DateJanuary 14, 2011
Last NPPES UpdateMarch 1, 2017
✔ NPI 1891090395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2011000744
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1404 TRIAD CENTER DR, Saint Peters, MO 63376
Open in Google Maps ↗

Other Names 1

Doing Business AsCardinal Physical Medicine

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKAYLA GREEN CCC-SLP
Speech-Language Pathologist
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (314) 254-2188
ASHLEY N MCCOOL DC
Chiropractor
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (636) 352-0380
ALICIA RUTH STRONG SLP
Speech-Language Pathologist
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (314) 254-2188
DR. RICHARD WAYNE BLALOCK JR. D.C.
Chiropractor
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (636) 352-0380

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 Active Family Chiropractic, LLC's NPI number?

The NPI number for Active Family Chiropractic, LLC is 1891090395. It was assigned to this organization in the NPPES registry on January 14, 2011. The provider is doing business as Cardinal Physical Medicine.

Where is Active Family Chiropractic, LLC located?

Active Family Chiropractic, LLC is located at 1404 Triad Center Dr, Saint Peters, MO 63376. The listed phone number is (636) 352-0380.

What is Active Family Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Active Family Chiropractic, LLC was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.