ACTIVE FAMILY WELLNESS PLLC
NPI 1629680079
Chiropractor in Fairfax, VA

Active since August 18, 2020
11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 22030(703) 373-7113 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Jul 25, 2023, Jun 22, 2023 and 1 more (4 updates tracked since 2020).

About Active Family Wellness Pllc NPPES

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

ACTIVE FAMILY WELLNESS PLLC (NPI 1629680079) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since August 2020. The organization lists Gregory K Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1629680079
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE FAMILY WELLNESS PLLC
Location Address11350 RANDOM HILLS RD STE 300Fairfax, VA 22030-7421
Mailing Address11350 Random Hills Rd Ste 300Fairfax, VA 22030-7421 · (703) 373-7113 · Fax (703) 373-7595
Organization SubpartNo
Authorized OfficialGregory K LeeOwner · (703) 373-7113
Enumeration DateAugust 18, 2020
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1629680079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
11350 RANDOM HILLS RD STE 300, Fairfax, VA 22030

Other Names 2

Doing Business AsActive Family Wellness Pllc
Doing Business AsWestfields Family Chiropractic

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

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 Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Active Family Wellness PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Chiropractic
NPI 1154419950
11350 RANDOM HILLS RD STE 300
Fairfax, VA 22030
(703) 373-7113
✔ Accepts MedicareSame address
Chiropractic
NPI 1689377236
11350 RANDOM HILLS RD STE 300
Fairfax, VA 22030
(703) 373-7113
✔ Accepts MedicareSame address
Chiropractic
NPI 1427906791
11350 RANDOM HILLS RD STE 300
Fairfax, VA 22030
(703) 373-7113
✔ Accepts MedicareSame address
Chiropractic
NPI 1316555873
11350 RANDOM HILLS RD STE 300
Fairfax, VA 22030
(703) 373-7113
✔ Accepts MedicareSame address
Chiropractic
NPI 1043189236
3970 WALNUT ST
Fairfax, VA 22030
(703) 457-2337
✔ Accepts Medicare1.1 mi
Chiropractic
NPI 1396410890
10721 MAIN ST STE 1500
Fairfax, VA 22030
(703) 373-7113
✔ Accepts Medicare1.3 mi

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 Wellness PLLC's NPI number?

The NPI number for Active Family Wellness PLLC is 1629680079. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as Westfields Family Chiropractic.

Where is Active Family Wellness PLLC located?

Active Family Wellness PLLC is located at 11350 Random Hills Rd Ste 300, Fairfax, VA 22030. The listed phone number is (703) 373-7113.

What is Active Family Wellness PLLC's specialty?

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

Is Active Family Wellness PLLC enrolled in Medicare?

Yes. Active Family Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Family Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Active Family Wellness PLLC. 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. Of these, 4 practice at this address and 6 within 10 miles. 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 Wellness PLLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.