Active Orthopedic Health and Wellness LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC

Practice address

4117 Plank Rd
Fredericksburg, VA 22407-4888

Phone

(540) 785-8018

NPI assigned

Mar 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Gowaty, PA-CNPI 1508843616

Title

Clinic Director

Phone

(540) 785-8018

Specialties & licenses 1

Addresses

Other names 1

• Keep Active Health & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph P Gowaty, PA-C

  • Surgical Physician Assistant
  • Fredericksburg, VA
  • NPI 1508843616
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1134876329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074888",
            "telephone_number": "540-785-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074888",
            "telephone_number": "540-785-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "GOWATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "540-785-8018",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keep Active Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Kokui Acolatse
• Courtney Danielle Acors
• Robert Joseph Acquadro, O.D.
• Action PT
• Active Aidcare LLC
• Acupuncture Fredericksburg
• Adam H Madison Odpc
• Mellisa Adams- Guevara, PHARMD
• Christopher Adams, H.I.S.
• Debra Lynne Adams, NP

• Medical Physician Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.