Gregory Scott Petruzzi, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556043 Issued in VA

Practice address

5864 Mapledale PLZ
Woodbridge, VA 22193-4535

Phone

(703) 680-3332

Fax

(703) 680-1365

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Active Chiropractic Clinic

  • Chiropractor
  • Woodbridge, VA
  • NPI 1174649602
  NPD (past) Authorized official
• Millennium Chiropractic PC

  • Chiropractor
  • Woodbridge, VA
  • NPI 1326250598
  NPD (past)
• Rowena de Jesus Family Chiropractic

  • Chiropractor
  • Sugarloaf, PA
  • NPI 1083894042
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407971245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5864 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535",
            "telephone_number": "703-680-3332",
            "fax_number": "703-680-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5864 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535",
            "telephone_number": "703-680-3332",
            "fax_number": "703-680-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZI",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perseverance Counseling Services LLC
• Persevere Residential Services
• Peter a Bryce MD PC
• Peter HD Kim, DDS
• Izabella Petrescu
• Gina Cuc Pham, DDS
• Nhu-Oanh Thi Pham, PHARMD
• Shawn Ngoc Pham, MSW, LCSW
• Teresa Diemtu Pham, O.D.
• Linh Phan, DDS

• Chiropractor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.