OrganizationActive
Advanced Health and Wellness Center
NPI 1205134723 · Physical Medicine & Rehabilitation Physician · Wadsworth, OH
Provider details
- NPI number
- 1205134723
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Bupp, Owner(330) 336-9500
- License
- 35082293 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
201 Great Oaks Trl
Wadsworth, OH 44281-9430
Phone: (330) 336-9500
Fax: (330) 336-3377
Street-level locationGet directions
Mailing address
201 Great Oaks Trl
Wadsworth, OH 44281-9430
Registry dates
- Enumerated
- 2011-03-08
- Last updated
- 2014-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.