ACTIVE LIFESTYLE MEDICAL – NPI #1376076059
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
ACTIVE LIFESTYLE MEDICAL is a provider located in STERLING, VA. NPPES has assigned the NPI number 1376076059 to ACTIVE LIFESTYLE MEDICAL on April 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACTIVE LIFESTYLE MEDICAL” is a dba name, the actual legal business name for this organization is ULTRAMED GROUP, INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Jan 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVE LIFESTYLE MEDICAL below.
NPI Profile for
ULTRAMED GROUP, INC
(more than 9 years ago)
SUITE 102
STERLING, VA 20165-6154 Phone: (703) 444-4141 Fax:
OWNER
Phone: (703) 444-4141
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.