Rebel Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1201 Issued in OH

Legal business name

REBEL CHIROPRACTIC LLC

Practice address

1222 Pray Blvd Ste 1
Waterville, OH 43566-8717

Phone

(419) 878-8142

Fax

(419) 878-8143

NPI assigned

Nov 9, 2016

Last updated

Sep 18, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon Schwanz, DC

Title

Owner

Phone

(419) 878-8142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Marie Gouker, DC

  • Chiropractor
  • Waterville, OH
  • NPI 1275001091
  Medicare reassignment Care Compare group NPD
• Jon Tyler Schwanz, D.C.

  • Chiropractor
  • Waterville, OH
  • NPI 1609133412
  Medicare reassignment Care Compare group NPD
• Jon W Schwanz, D.C.

  • Thermography Chiropractor
  • Waterville, OH
  • NPI 1407833817
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1104368026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 PRAY BLVD STE 1",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668717",
            "telephone_number": "419-878-8142",
            "fax_number": "419-878-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PRAY BLVD STE 1",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668717",
            "telephone_number": "419-878-8142",
            "fax_number": "419-878-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHWANZ",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-878-8142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Parks, NP-C
• Suzette M Pelton, RPH
• Dustin Peper, DC
• Per Diem Nurse Staffing LLC
• Kylie Pocrnich
• Jacob Michael Dakota Redfox, PA-C
• Leah Dawn Reichmanis, CCC/SLP
• Rhino31 Inc. (Senior Helpers of NW Ohio)
• R. Daniel Rigal, M.D.
• Daniel J Robinson, O.D.

• Chiropractor in Waterville, OH
• Providers in Waterville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.