IndividualActive
Phongphan Roach
NPI 1326558925 · Physical Rehabilitation Occupational Therapist · Herndon, VA
Provider details
- NPI number
- 1326558925
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0131001567 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2980 Centreville Rd
Herndon, VA 20171-6254
Phone: (703) 994-4561
Street-level locationGet directions
Mailing address
1912 Villaridge Dr Unit B
Reston, VA 20191-4830
Registry dates
- Enumerated
- 2017-10-09
- Last updated
- 2017-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.