BRENTWOOD SPINE CLINIC LLC (NPI# 1669716031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669716031 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD SPINE CLINIC LLC |
| Practice Address |
2202 S Brentwood Blvd Brentwood MO 63144-1804 |
| Practice Telephone | 3146006677 |
| Mailing Telephone | 3146006677 |
| Enumeration Date | 2012-11-24 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | DR. CLINTON JOSEPH DANIELS (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 3146006677 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2010031861 | MO | Chiropractic Providers |
| Street Address |
2202 S BRENTWOOD BLVD |
| City | BRENTWOOD |
| State | MO |
| Zip Code | 63144-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437237138 | Ronald Leonard Batkin | Chiropractor | 745 1st St, Brentwood, CA 94513-1324 | 2006-11-01 |
| 1992870448 | Donald Carl Hudson | Chiropractor | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2006-11-21 |
| 1497820955 | Donald Taylor Henderson | Chiropractor | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021408 | Jacob Schmitz | Chiropractor | 380 Beckley Pl, Saint Charles, MO 63304-1029 | 2020-10-19 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1912329897 | Matthew Mcfarland | Chiropractor | 311 Pine St, West Plains, MO 65775-2533 | 2014-01-13 |
| 1134460090 | Tara Adams LLC | Chiropractor | 429 Coronado Dr, Ballwin, MO 63011-2543 | 2013-03-01 |
| 1669770251 | Cindy Almon | Chiropractor | 9058 Watson Rd Ste C, Saint Louis, MO 63126-2242 | 2011-03-04 |
| 1518273911 | Performance Health Care LLC | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2010-08-23 |
| 1518284702 | Sturges Chiropractic Health Center PC | Chiropractor | 1575 Kisker Rd, Saint Charles, MO 63304-0608 | 2010-04-27 |
| 1851627566 | Pharr Chiropractic and Rehabilitation | Chiropractor | 2726 W Osage St, Pacific, MO 63069-3430 | 2009-10-30 |
| 1376782342 | Mcclain Chiropractic Inc | Chiropractor | 2640 N. Hwy. 67, Florissant, MO 63033-1438 | 2009-02-13 |
| 1851518302 | Vincent Page Crow | Chiropractor | 3713 S Hardy Ave, Independence, MO 64052-1148 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRENTWOOD SPINE CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.