IndividualActive
Ethan Carroll
NPI 1548855141 · Physical Therapy Assistant · Mc Lean, VA
Provider details
- NPI number
- 1548855141
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2306605698 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
6858 Old Dominion Dr Ste 200
Mc Lean, VA 22101-3832
Phone: (703) 288-8260
Street-level locationGet directions
Mailing address
8496 Canyon Oak Dr
Springfield, VA 22153-3576
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.