NPIMap

Organization Active NPI

On Track MN, L.L.C.

  • Early Intervention Provider Agency
  • St Louis Park, MN
National Provider Identifier
1942853940
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ON TRACK MN, L.L.C.
Practice address
7035 Wayzata Blvd
St Louis Park, MN 55426-1753
Phone
(612) 413-8780
NPI assigned
Jul 18, 2019
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Christine Deanne HendricksonNPI 1811533144
Title
Director
Phone
(612) 413-8780

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

7035 Wayzata Blvd
St Louis Park, MN 55426-1753

Mailing address

7035 Wayzata Blvd Ste 100
St Louis Park, MN 55426-1754
Phone (612) 413-8780

National Provider Directory

National Provider Directory

Locations

10520 Wayzata Blvd
Minnetonka, MN 55305
Phone (952) 484-8486

7035 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 413-8780

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1942853940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 WAYZATA BLVD STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261754",
            "telephone_number": "612-413-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261753",
            "telephone_number": "612-413-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TRACK MN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-413-8780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.