Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ty Rebedew

Individual provider Chiropractor · NPI 1073100178

Ty Rebedew is a Chiropractic in Berlin, Wisconsin. Graduated from Logan College of Chiropractic in 2020, 6 years ago. Practices with Jaskowiak Chiropractic Office SC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Trained at
Logan College of Chiropractic
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

147 N State St
Berlin, WI 54923-1621
Phone: (920) 361-3515
Fax: (920) 361-2733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3306-12 (WI)

Record details

NPI number1073100178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2020 (6 years in practice)
Group practice Jaskowiak Chiropractic Office Sc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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