OrganizationActive
Integrative Medicine & Wellness Inc
NPI 1619792256 · Internal Medicine Physician · Manassas, VA
Provider details
- NPI number
- 1619792256
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mariya Bourget, Owner(703) 863-3029
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Integrative Medicine Physician202D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
7900 Sudley Rd Ste 416
Manassas, VA 20109-2806
Phone: (703) 563-3804
Fax: (877) 409-1647
Street-level locationGet directions
Mailing address
7900 Sudley Rd Ste 416
Manassas, VA 20109-2806
Registry dates
- Enumerated
- 2024-11-19
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.