Back on Track Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK ON TRACK CHIROPRACTIC

Doing business as

Shively Chiropractic & Injury Rehab

Practice address

3934 Dixie Hwy Ste 510
Louisville, KY 40216-4179

Phone

(502) 447-6618

Fax

(502) 447-6419

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Wellington

Title

Owner

Phone

(502) 447-6618

Specialties & licenses 1

Addresses

Other names 1

• Shively Chiropractic & Injury Rehab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1144527946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164179",
            "telephone_number": "502-447-6618",
            "fax_number": "502-447-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164179",
            "telephone_number": "502-447-6618",
            "fax_number": "502-447-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "WELLINGTON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-447-6618"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shively Chiropractic & Injury Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Anne Bach, PHARMD
• Nicholas Bach, PSY.D.
• Daniel Ross Bachman, M.D.
• Shelby Lynn Bachman, PMHNP-BC
• Back in Motion Chiropractic
• Back, Body & Beyond Chiropractic PLLC (Back, Body & Beyond Chiropractic)
• Back9Pt & Performance LLC
• Rebecca Willingham Backert, LCSW
• Danielle Patricia Backes
• Candice Elaine Bacon, CRNA

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.