Proactive Physical Therapy and Wellness LLC
NPI 1982097465 · Physical Therapy Clinic/Center · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proactive Physical Therapy and Wellness LLC is a Physical Therapy Clinic/Center organization in Fairfax, VA (NPI 1982097465).
Provider details
- NPI number
- 1982097465
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chavone Johnson, Physical Therapist(571) 294-3557
- License
- 2305204873 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-03-09
- Last updated
- 2015-08-03
Frequently asked questions
- What is Proactive Physical Therapy and Wellness LLC's NPI number?
- Proactive Physical Therapy and Wellness LLC's National Provider Identifier (NPI) is 1982097465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Physical Therapy and Wellness LLC?
- Proactive Physical Therapy and Wellness LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Physical Therapy and Wellness LLC located?
- Proactive Physical Therapy and Wellness LLC's practice location on file with NPPES is 3903 Fair Ridge Dr, Fairfax, VA 22033-2943.
- What is Proactive Physical Therapy and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Physical Therapy and Wellness LLC is (571) 294-3557.
- Does Proactive Physical Therapy and Wellness LLC accept Medicare?
- Proactive Physical Therapy and Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proactive Physical Therapy and Wellness LLC?
- The authorized official listed on Proactive Physical Therapy and Wellness LLC's NPPES record is Chavone Johnson, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Physical Therapy and Wellness LLC's NPI active?
- Yes — Proactive Physical Therapy and Wellness LLC's NPI (1982097465) is active in the NPPES registry as of the last update on 2015-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.