OrganizationActive
Professional Healthcare Group
NPI 1689629255 · Durable Medical Equipment & Medical Supplies · Woodbridge, VA
Provider details
- NPI number
- 1689629255
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Annette Mcclatchey, Administrator(703) 580-7192
- License
- 49D1010340 (VA)
Specialties & taxonomies
Suppliers
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5504 Staples Mill Plz
Woodbridge, VA 22193-3247
Phone: (703) 580-7192
Fax: (703) 580-7183
Street-level locationGet directions
Mailing address
Po Box 6400
Woodbridge, VA 22195-6400
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2008-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.