Back on Track, PLLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5541 Issued in MN

Legal business name

BACK ON TRACK, PLLC

Practice address

3128 Holmes Ave
Upper
Minneapolis, MN 55408-2629

Phone

(612) 325-9935

NPI assigned

Jun 3, 2011

Last updated

Sep 6, 2013By 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

Dr. Jennifer Lee Heerdt, D.C.NPI 1033403373

Title

Chiropractor

Phone

(612) 325-9935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jennifer Lee Heerdt, D.C.

  • Chiropractor
  • Roseville, MN
  • NPI 1033403373
  Authorized official Same address or phone

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1659665990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 HOLMES AVE",
            "address_2": "UPPER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082629",
            "telephone_number": "612-325-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 HOLMES AVE",
            "address_2": "UPPER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082629",
            "telephone_number": "612-325-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "HEERDT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-325-9935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "5541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe M Bachman
• Peter Clay Bachmeier, DDS
• Elizabeth Bachorik, NP
• Fouad Bachour, MD
• Catherine Dory Bachur, MD, MA
• Back to Basics Chiropractic & Wellness LLC
• Terrel Backes, LICENSED PSYCHOLOGIS
• Ashley Ann Backlund
• Emma Backlund
• Sarah Backman, CCC-SLP

• Preferred Provider Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Preferred Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.