Active NPI
Back in Balance Health and Wellness PLLC
- Chiropractor
- Saint Peter, MN
National Provider Identifier
1003669722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BACK IN BALANCE HEALTH AND WELLNESS PLLC
- Practice address
- 220 Broadway Ave
Saint Peter, MN 56082-2594 - Phone
- (218) 451-0215
- NPI assigned
- Apr 10, 2024
- Last updated
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Ann Thompson, DC
- Title
- Chiropractor
- Phone
- (507) 519-1408
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
220 Broadway Ave
Saint Peter, MN 56082-2594
Mailing address
220 Broadway Ave
Saint Peter, MN 56082-2594
Phone (507) 519-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Saint Peter, MN
- NPI 1861165680
-
- Massage Therapist
- Saint Peter, MN
- NPI 1831926534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1003669722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BROADWAY AVE",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560822594",
"telephone_number": "507-519-1408",
"fax_number": "507-519-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BROADWAY AVE",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560822594",
"telephone_number": "218-451-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK IN BALANCE HEALTH AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "507-519-1408",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.