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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

147 N State St
Berlin, WI 54923-1621
Phone: (920) 361-3515
Fax: (920) 361-2733
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address147 N State St, Berlin, WI 54923-1621

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

Other providers in Berlin