RECHARGE WELLNESS – Sports Physician Chiropractor, NPI 1750654497

RECHARGE WELLNESS is a healthcare provider. based in Leesburg, Virginia. specializing in Sports Physician Chiropractor. The organization holds a License No. 0104555886 (VA). The NPI Number for RECHARGE WELLNESS is 1750654497

Main info

Organization
Name
RECHARGE WELLNESS
NPI
1750654497
Phone
(703) 481-4400
Address
18328 BUCCANEER TER
Authorized Official
DR. BRUCE SHORT OWNER DC
Enumeration Date
10 February 2012
Last Update Date
12 November 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for RECHARGE WELLNESS

  • 18328 BUCCANEER TER

    LEESBURG, VA 201768474

    Phone: (703) 481-4400

    Fax: (703) 935-0430

    Type: Mailing

  • 19945 RIVERSIDE COMMONS PLZ STE 100

    ASHBURN, VA 201475146

    Phone: (703) 481-4400

    Fax: (703) 935-0430

    Type: Location

  • 1041 STERLING RD

    SUITE 101

    HERNDON, VA 201703869

    Phone: (703) 481-4400

    Fax: (703) 935-0430

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (806 days ago).

Enrollment records

1

Earliest due date

2024-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20160603001647OClinic/Group PracticeDC2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20176)

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Reviews

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Frequently asked questions

How do payers reference RECHARGE WELLNESS?
For RECHARGE WELLNESS, use NPI 1750654497 as the unique 10-digit identifier.
Is there an active status for RECHARGE WELLNESS?
For scheduling context, RECHARGE WELLNESS is shown as active in the registry.
What expertise is attributed to RECHARGE WELLNESS?
RECHARGE WELLNESS's specialty line reads Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RECHARGE WELLNESS?
Travel planning: use Leesburg, Virginia as the reference point for RECHARGE WELLNESS, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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