Organization Active NPI

Active Family Wellness PLLC

Doing business as Westfields Family Chiropractic

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1629680079
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACTIVE FAMILY WELLNESS PLLC
Doing business as
Active Family Wellness PLLC
Westfields Family Chiropractic
Practice address
11350 Random Hills Rd Ste 300
Fairfax, VA 22030-7421
Phone
(703) 373-7113
NPI assigned
Aug 18, 2020
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Gregory K LeeNPI 1154419950
Title
Owner
Phone
(703) 373-7113

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

11350 Random Hills Rd Ste 300
Fairfax, VA 22030-7421

Mailing address

11350 Random Hills Rd Ste 300
Fairfax, VA 22030-7421
Phone (703) 373-7113

Other names 2

  • Active Family Wellness PLLC Doing business as
  • Westfields Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717002538 DC Part B Supplier - Clinic/Group Practice 7012377492 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

11350 Random Hills Rd
Ste 300
Fairfax, VA 22030
Phone (703) 373-7113

Practitioners & affiliated clinicians

Practitioners 6

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1629680079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307421",
            "telephone_number": "703-373-7113",
            "fax_number": "703-373-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307421",
            "telephone_number": "703-373-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-373-7113"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Family Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westfields Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.