Petersburg Spine & Sport – Chiropractor, NPI 1639318173

Petersburg Spine & Sport is a healthcare provider. based in Petersburg, Illinois. specializing in Chiropractor. The organization holds a License No. 038011323 (IL). The NPI Number for Petersburg Spine & Sport is 1639318173

Main info

Organization
Name
Petersburg Spine & Sport
NPI
1639318173
Phone
(217) 632-7599
Address
115 E DOUGLAS AVE
Authorized Official
DR. MICHAEL GENSLER CHIROPRACTOR DC
Enumeration Date
6 February 2009
Last Update Date
5 January 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Petersburg Spine & Sport

  • Douglas Avenue, Petersburg, O'Fallon, Saint Clair County, Illinois, 62269, United States

    PETERSBURG, IL 626751558

    Phone: (217) 632-7599

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62675)

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Reviews

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Frequently asked questions

What number should I use to identify Petersburg Spine & Sport for billing?
Administrative and clinical systems typically use NPI 1639318173 for Petersburg Spine & Sport.
Is Petersburg Spine & Sport currently accepting referrals based on NPI status?
Registry metadata lists Petersburg Spine & Sport as active.
Which specialty label fits Petersburg Spine & Sport?
NPPES ties Petersburg Spine & Sport to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Petersburg Spine & Sport in Petersburg, Illinois?
For routing, start with Petersburg, Illinois for Petersburg Spine & Sport, then verify phone and hours locally.
Why is information missing for Petersburg Spine & Sport?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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