4 ACTIVE HEALTH INC
NPI 1467909804
Clinic/Center - Health Service in Longmont, CO
About 4 Active Health Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
4 ACTIVE HEALTH INC (NPI 1467909804) is a healthcare organization registered as a health service in Longmont, Colorado and active in the NPI registry since September 2016. The organization lists Jonathan C Shum, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
4 Active Health Inc 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 4 Active Health Inc, 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 4 Active Health Inc's NPI number?
The NPI number for 4 Active Health Inc is 1467909804. It was assigned to this organization in the NPPES registry on September 1, 2016.
Where is 4 Active Health Inc located?
4 Active Health Inc is located at 1225 Ken Pratt Blvd Suite 222, Longmont, CO 80501. The listed phone number is (303) 772-3100.
What is 4 Active Health Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is 4 Active Health Inc enrolled in Medicare?
Yes. 4 Active Health Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 4 Active Health Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to 4 Active Health Inc. 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 4 Active Health Inc was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# 4 Active Health Inc · NPI 1467909804
Health Service organization in Longmont, Colorado. Organization record, active in the CMS NPPES registry since September 1, 2016.
## Identity
- **NPI:** 1467909804 (Entity type: Organization)
- **Enumerated:** September 1, 2016
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Jonathan Shum, PRESIDENT
## Practice location
- **Address:** 1225 KEN PRATT BLVD, SUITE 222, Longmont, CO 80501-6518
- **Phone:** (303) 772-3100
## 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:** November 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467909804) · Data from the CMS NPPES public registry.