Chiropractic Rehab and Sports Injuries of Louisville

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC REHAB AND SPORTS INJURIES OF LOUISVILLE

Practice address

4106 Flintlock Dr
Louisville, KY 40216-1534

Phone

(502) 290-7361

Fax

(502) 688-6468

NPI assigned

Feb 16, 2021

Last updated

Nov 10, 2021By 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

Michael L Young, DCNPI 1013361534

Title

Owner

Phone

(606) 564-4213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiropractic, Rehab, and Sports Injuries of Louisville LLC Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• Michael L Young, DC

  • Chiropractor
  • Louisville, KY
  • NPI 1013361534
  Medicare reassignment Authorized official
• Kalon Durden, DC

  • Chiropractor
  • Morehead, KY
  • NPI 1831797075
  Medicare reassignment NPD

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1891388310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 FLINTLOCK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161534",
            "fax_number": "502-688-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 FLINTLOCK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161534",
            "telephone_number": "502-290-7361",
            "fax_number": "502-688-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHAB AND SPORTS INJURIES OF LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-564-4213",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100405870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic, Rehab, and Sports Injuries of Louisville LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janet R Chipman, M.D.
• Chiromed Chiropractic PLLC
• Chiropractic and Medical Center LLC
• Chiropractic Health Care Center Inc.
• Chiropractic Louisville PLLC
• Chiropractic Solutions PLLC (Skye Chiropractic at Bardstown Road)
• Alicia Golden Chisholm, LCSW
• Saima Chishti, PA-C
• Corey Peyton Chitwood
• Chmiel, Murphy, & Secor, PSC

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.