OrganizationActive
The Active Chiropractic Clinic
NPI 1174649602 · Chiropractor · Woodbridge, VA
Provider details
- NPI number
- 1174649602
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Gregory Petruzzi, Owner(703) 680-3332
- License
- 0104556043 (VA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5864 Mapledale Plz
Woodbridge, VA 22193-4535
Phone: (703) 680-3332
Fax: (703) 680-1365
Street-level locationGet directions
Mailing address
5864 Mapledale Plz
Woodbridge, VA 22193-4535
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.