Organization Active NPI

Rhonda Shell LLC

Doing business as Back On Track

  • Chiropractor
  • Orange Beach, AL
National Provider Identifier
1255846572
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RHONDA SHELL LLC
Doing business as
Back On Track
Practice address
27250 Perdido Beach Blvd Ste a
Orange Beach, AL 36561-3205
Phone
(251) 968-2225
Fax
(251) 981-7600
NPI assigned
Dec 8, 2017
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Mrs. Rhonda Osbon Shell
Title
Owner
Phone
(251) 968-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

27250 Perdido Beach Blvd Ste a
Orange Beach, AL 36561-3205

Mailing address

27250 Perdido Beach Blvd Ste a
Orange Beach, AL 36561-3205
Phone (251) 968-2225

Other names 1

  • Back On Track Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180927003289 AL Part B Supplier - Clinic/Group Practice 4486905502 Receives reassigned benefits from 2 practitioners
Practice locations: Orange Beach, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1255846572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27250 PERDIDO BEACH BLVD STE A",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613205",
            "telephone_number": "251-968-2225",
            "fax_number": "251-981-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27250 PERDIDO BEACH BLVD STE A",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613205",
            "telephone_number": "251-968-2225",
            "fax_number": "251-981-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA SHELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "OSBON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-968-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back On Track",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.

Verify at the official NPI Registry.