ACTIVE FAMILY CHIROPRACTIC, LLC
NPI 1417311531
Clinic/Center - Medical Specialty in Willow Street, PA
About Active Family Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE FAMILY CHIROPRACTIC, LLC (NPI 1417311531) is a healthcare organization registered as a medical specialty in Willow Street, Pennsylvania and active in the NPI registry since April 2016. The organization lists Barry Daniel Hazen, Sole Member/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Family Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Family Chiropractic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Active Family Chiropractic, LLC's NPI number?
The NPI number for Active Family Chiropractic, LLC is 1417311531. It was assigned to this organization in the NPPES registry on April 6, 2016.
Where is Active Family Chiropractic, LLC located?
Active Family Chiropractic, LLC is located at 4 Mylin Ave, Willow Street, PA 17584. The listed phone number is (717) 947-7283.
What is Active Family Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Active Family Chiropractic, LLC enrolled in Medicare?
Yes. Active Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Family Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Family Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Active Family Chiropractic, LLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Active Family Chiropractic, Llc · NPI 1417311531
Medical Specialty organization in Willow Street, Pennsylvania. Organization record, active in the CMS NPPES registry since April 6, 2016.
## Identity
- **NPI:** 1417311531 (Entity type: Organization)
- **Enumerated:** April 6, 2016
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Barry Hazen, SOLE MEMBER/OWNER
## Practice location
- **Address:** 4 MYLIN AVE, Willow Street, PA 17584-9305
- **Phone:** (717) 947-7283 · **Fax:** (717) 947-7284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1417311531) · Data from the CMS NPPES public registry.