Rebound Chiropractic and Sports Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REBOUND CHIROPRACTIC AND SPORTS MEDICINE, LLC

Practice address

1201 SW State St., Suite 111
Ankeny, IA 50023-5002

Phone

(515) 500-6551

NPI assigned

Nov 12, 2019

Last updated

Jan 23, 2024By 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

Benjamin Kohler, DCNPI 1063077717

Title

Owner/Member

Phone

(515) 500-6551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Benjamin Kohler, DC

  • Chiropractor
  • Ankeny, IA
  • NPI 1063077717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1619512845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW STATE ST STE 111",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232672",
            "telephone_number": "785-458-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW STATE ST., SUITE 111",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500235002",
            "telephone_number": "515-500-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND CHIROPRACTIC AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "515-500-6551",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Optics Inc (Eyemart Optical in Ankeny)
• Kimberly Love Reaves, OTR/L
• Denis Reavis, DO
• Cynthia S Rebik Christensen, A.R.N.P.
• Carolyn Rebman
• Katie Regan, PHARMD
• Kylie Regensburger, RD
• Rehma Provider Healthcare
• Rehoboth Home Care Services LLC
• Brett Jeffrey Reimer, DO

• Clinic/Center in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.