Organization Active NPI

Wellness Way Leesburg

  • Chiropractor
  • Leesburg, VA
National Provider Identifier
1184512683
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS WAY LEESBURG
Practice address
540 Fort Evans Rd Ste 302
Leesburg, VA 20176-3379
Phone
(571) 680-1094
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Dr. Destiny Decker, DCNPI 1437972866
Title
Managing Owner
Phone
(571) 680-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

540 Fort Evans Rd Ste 302
Leesburg, VA 20176-3379

Mailing address

540 Fort Evans Rd Ste 302
Leesburg, VA 20176-3379

National Provider Directory

National Provider Directory

Locations

540 Fort Evans Rd
Ste 302
Leesburg, VA 20176
Phone (571) 680-1094

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1184512683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FORT EVANS RD STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FORT EVANS RD STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763379",
            "telephone_number": "571-680-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY LEESBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "571-680-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.