NPIMap

Organization Active NPI

Active Health & Wellness Center, Inc.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1578841482
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007261 Issued in FL
Legal business name
ACTIVE HEALTH & WELLNESS CENTER, INC.
Practice address
4015 N Armenia Ave
Tampa, FL 33607-1001
Phone
(813) 933-5259
Fax
(813) 935-3698
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Mr. Matthew U Brecher, D.C.NPI 1356467757
Title
President
Phone
(813) 933-5259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0007261 FL Primary

Addresses

Primary practice location

4015 N Armenia Ave
Tampa, FL 33607-1001

Mailing address

4015 N Armenia Ave
Tampa, FL 33607-1001
Phone (813) 933-5259

National Provider Directory

National Provider Directory

Locations

4015 N Armenia Ave
Ste 104
Tampa, FL 33607
Phone (813) 933-5259

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1578841482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-933-5259",
            "fax_number": "813-935-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-933-5259",
            "fax_number": "813-935-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "BRECHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-933-5259",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.