Organization Active NPI

Bold Chiropractic and Rehabilitation

Doing business as FitLab Rehab

  • Chiropractor
  • Austin, TX
National Provider Identifier
1205364221
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOLD CHIROPRACTIC AND REHABILITATION
Doing business as
FitLab Rehab
Practice address
7004 Bee Caves Rd Ste 1-101
Austin, TX 78746-5028
Phone
(512) 567-6343
Fax
(833) 807-0121
NPI assigned
Jun 3, 2017
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Dr. Dorea Wilder Neigert, DC, CCSPNPI 1366670853
Title
Owner
Phone
(512) 567-6343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Sports Physician Chiropractor 111NS0005X NU
Physical Therapist 225100000X NU
Independent Medical Examiner Chiropractor 111NI0013X NU

Addresses

Primary practice location

7004 Bee Caves Rd Ste 1-101
Austin, TX 78746-5028

Mailing address

7004 Bee Caves Rd Ste 1-101
Austin, TX 78746-5028
Phone (512) 567-6343

Other names 1

  • FitLab Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816001158 TX Part B Supplier - Clinic/Group Practice 2062895527 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

1705 S Capital of Texas Hwy
Ste 300
Austin, TX 78746

7004 Bee Caves Rd
Ste 1-101
Austin, TX 78746
Phone (512) 567-6343

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1205364221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 1-101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465028",
            "telephone_number": "512-567-6343",
            "fax_number": "833-807-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 1-101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465028",
            "telephone_number": "512-567-6343",
            "fax_number": "833-807-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-03",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "NEIGERT",
        "authorized_official_first_name": "DOREA",
        "authorized_official_middle_name": "WILDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-567-6343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FitLab Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.