OrganizationActive
Pr Physical Therapy, LLC
NPI 1114184850 · Physical Therapy Clinic/Center · Stafford, VA
Provider details
- NPI number
- 1114184850
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jolene Faught, Owner, Physical Therapist(540) 446-4919
- License
- 2305205204 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 Susa Dr
Suite 123
Stafford, VA 22554-9435
Phone: (540) 446-4919
Street-level locationGet directions
Mailing address
60 Susa Dr Ste 123
Stafford, VA 22554-9435
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.