Organization Active NPI

Corydon Chiropractic Rehab & Wellness Center LLC

  • Chiropractor
  • Corydon, IN
National Provider Identifier
1851669253
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001813A Issued in IN
Legal business name
CORYDON CHIROPRACTIC REHAB & WELLNESS CENTER LLC
Practice address
2127 Edsel LN NW
Corydon, IN 47112-2030
Phone
(812) 738-8020
Fax
(812) 738-1760
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Jonathan Reynolds, DCNPI 1801541990
Title
Owner
Phone
(812) 738-8020

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001813A IN Primary

Addresses

Primary practice location

2127 Edsel LN NW
Corydon, IN 47112-2030

Mailing address

2127 Edsel LN NW
Corydon, IN 47112-2030
Phone (812) 738-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000150 IN Part B Supplier - Clinic/Group Practice 8820263106 Receives reassigned benefits from 1 practitioner
Practice locations: Corydon, IN

National Provider Directory

National Provider Directory

Locations

2129 Edsel Ln NW
Corydon, IN 47112
Phone (812) 738-8020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1851669253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122030",
            "telephone_number": "812-738-8020",
            "fax_number": "812-738-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122030",
            "telephone_number": "812-738-8020",
            "fax_number": "812-738-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYDON CHIROPRACTIC REHAB & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-738-8020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001813A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.