THE ACTIVE CHIROPRACTIC CLINIC
NPI 1174649602
Chiropractor in Woodbridge, VA

Active since March 22, 2007
5864 MAPLEDALE PLZ, WOODBRIDGE, VA 22193(703) 680-3332(703) 680-1365 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Active Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE ACTIVE CHIROPRACTIC CLINIC (NPI 1174649602) is a healthcare organization registered as a chiropractor in Woodbridge, Virginia and active in the NPI registry since March 2007. The organization lists Gregory Scott Petruzzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174649602
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTHE ACTIVE CHIROPRACTIC CLINIC
Location Address5864 MAPLEDALE PLZWoodbridge, VA 22193-4535
Mailing Address5864 Mapledale PlzWoodbridge, VA 22193-4535 · (703) 680-3332 · Fax (703) 680-1365
Fax(703) 680-1365
Organization SubpartNo
Authorized OfficialGregory Scott PetruzziOwner · (703) 680-3332
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174649602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in VA · 0104556043
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5864 MAPLEDALE PLZ, Woodbridge, VA 22193

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
5864 MAPLEDALE PLZ
WOODBRIDGE, VA 22193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Active Chiropractic Clinic's NPI number?

The NPI number for The Active Chiropractic Clinic is 1174649602. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is The Active Chiropractic Clinic located?

The Active Chiropractic Clinic is located at 5864 Mapledale Plz, Woodbridge, VA 22193. The listed phone number is (703) 680-3332.

What is The Active Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for The Active Chiropractic Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.