Organization Active NPI

Carroll County Chiropractic and Rehabilitation LLC

  • Chiropractor
  • Carrollton, KY
National Provider Identifier
1699260406
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CARROLL COUNTY CHIROPRACTIC AND REHABILITATION LLC
Practice address
1302 Highland Ave Ste a
Carrollton, KY 41008-3000
Phone
(502) 519-0000
Fax
(502) 662-2309
NPI assigned
Jun 25, 2018
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Dr. Brett T Gibson, DCNPI 1790233039
Title
Doctor/Owner
Phone
(502) 519-0000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1302 Highland Ave Ste a
Carrollton, KY 41008-3000

Mailing address

1302 Highland Ave Ste a
Carrollton, KY 41008-3000
Phone (502) 519-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221128001046 KY Part B Supplier - Clinic/Group Practice 1153799044 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, KY

National Provider Directory

National Provider Directory

Locations

1302 Highland Ave
Ste A
Carrollton, KY 41008
Phone (502) 519-0000

2519 Highway 227
Unit D
Carrollton, KY 41008
Phone (502) 519-0000

Practitioners & affiliated clinicians

Practitioners 2

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1699260406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 HIGHLAND AVE STE A",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410083000",
            "telephone_number": "502-519-0000",
            "fax_number": "502-662-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 HIGHLAND AVE STE A",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410083000",
            "telephone_number": "502-519-0000",
            "fax_number": "502-662-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY CHIROPRACTIC AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "502-519-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, KY

Sources for this page

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