ADVANCED INJURY REHAB
NPI 1114584612
Chiropractor in Bardstown, KY

Active since May 21, 2019
102 MANOR AVE STE 202, BARDSTOWN, KY 40004(502) 233-3456 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2022, May 21, 2019 (2 updates tracked since 2019).

About Advanced Injury Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED INJURY REHAB (NPI 1114584612) is a healthcare organization registered as a chiropractor in Bardstown, Kentucky and active in the NPI registry since May 2019. The organization lists Dawn Wietfeldt, Member, as its authorized official.

NPPES Registry Identity

NPI1114584612
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINJURY REHAB CENTER LLC
Location Address102 MANOR AVE STE 202Bardstown, KY 40004-2553
Mailing Address102 Manor Ave Ste 202Bardstown, KY 40004-2553 · (502) 233-3456
Organization SubpartNo
Authorized OfficialDawn WietfeldtMember · (502) 233-3456
Enumeration DateMay 21, 2019
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1114584612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
102 MANOR AVE STE 202, Bardstown, KY 40004

Other Names 1

Doing Business AsAdvanced Injury Rehab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neuromusculoskeletal Medicine & OMM
102 MANOR AVE STE 202
BARDSTOWN, KY 40004

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 Injury Rehab Center LLC's NPI number?

The NPI number for Injury Rehab Center LLC is 1114584612. It was assigned to this organization in the NPPES registry on May 21, 2019. The provider is doing business as Advanced Injury Rehab.

Where is Injury Rehab Center LLC located?

Injury Rehab Center LLC is located at 102 Manor Ave Ste 202, Bardstown, KY 40004. The listed phone number is (502) 233-3456.

What is Injury Rehab Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Injury Rehab Center LLC was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.