REBEL CHIROPRACTIC LLC
NPI 1104368026
Chiropractor in Waterville, OH
About Rebel Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBEL CHIROPRACTIC LLC (NPI 1104368026) is a healthcare organization registered as a chiropractor in Waterville, Ohio and active in the NPI registry since November 2016. The organization lists Jon Schwanz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebel Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Rebel Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebel Chiropractic LLC's NPI number?
The NPI number for Rebel Chiropractic LLC is 1104368026. It was assigned to this organization in the NPPES registry on November 9, 2016.
Where is Rebel Chiropractic LLC located?
Rebel Chiropractic LLC is located at 1222 Pray Blvd Ste 1, Waterville, OH 43566. The listed phone number is (419) 878-8142.
What is Rebel Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Rebel Chiropractic LLC enrolled in Medicare?
Yes. Rebel Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rebel Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Rebel Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rebel Chiropractic LLC was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rebel Chiropractic Llc · NPI 1104368026
Chiropractor organization in Waterville, Ohio. Organization record, active in the CMS NPPES registry since November 9, 2016.
## Identity
- **NPI:** 1104368026 (Entity type: Organization)
- **Enumerated:** November 9, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jon Schwanz, OWNER
## Practice location
- **Address:** 1222 PRAY BLVD STE 1, Waterville, OH 43566-8717
- **Phone:** (419) 878-8142 · **Fax:** (419) 878-8143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104368026) · Data from the CMS NPPES public registry.