Organization Active NPI

Back on Track Chiropractic and Massage, LLC

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1487384202
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK ON TRACK CHIROPRACTIC AND MASSAGE, LLC
Practice address
8621 Martin Way E Ste 102
Lacey, WA 98516-5855
Phone
(360) 456-4954
Fax
(360) 412-1227
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Scott W. Tromboni, DCNPI 1023151933
Title
Managing Member/Provider
Phone
(360) 456-4954

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)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

8621 Martin Way E Ste 102
Lacey, WA 98516-5855

Mailing address

8621 Martin Way E Ste 102
Lacey, WA 98516-5855
Phone (360) 456-4954

Other identifiers 1

IdentifierTypeStateIssuer
2026938MedicaidWA

National Provider Directory

National Provider Directory

Locations

8621 Martin Way E
Ste 102
Lacey, WA 98516
Phone (360) 456-4954

Practitioners & affiliated clinicians

Practitioners 4

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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1487384202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 MARTIN WAY E STE 102",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165855",
            "telephone_number": "360-456-4954",
            "fax_number": "360-412-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 MARTIN WAY E STE 102",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165855",
            "telephone_number": "360-456-4954",
            "fax_number": "360-412-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "TROMBONI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGING MEMBER/PROVIDER",
        "authorized_official_telephone_number": "360-456-4954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026938",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.