Organization Active NPI

Recharge Wellness

  • Sports Physician Chiropractor
  • Ashburn, VA
National Provider Identifier
1750654497
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104555886 Issued in VA
Legal business name
RECHARGE WELLNESS
Practice address
19945 Riverside Commons PLZ Ste 100
Ashburn, VA 20147-5146
Phone
(703) 481-4400
Fax
(703) 935-0430
NPI assigned
Feb 10, 2012
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Dr. Bruce Short, DCNPI 1497761381
Title
Owner
Phone
(703) 481-4400

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 0104555886 VA Primary

Addresses

Primary practice location

19945 Riverside Commons PLZ Ste 100
Ashburn, VA 20147-5146

Mailing address

18328 Buccaneer Ter
Leesburg, VA 20176-8474
Phone (703) 481-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603001647 DC Part B Supplier - Clinic/Group Practice 0840580882 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

19945 Riverside Commons Plz
Ste 100
Ashburn, VA 20147
Phone (703) 481-4400

1041 Sterling Rd
Ste 101
Herndon, VA 20170
Phone (703) 481-4400

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": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1750654497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18328 BUCCANEER TER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768474",
            "telephone_number": "703-481-4400",
            "fax_number": "703-935-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19945 RIVERSIDE COMMONS PLZ STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475146",
            "telephone_number": "703-481-4400",
            "fax_number": "703-935-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECHARGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-481-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.