Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phongphan Roach

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1326558925

Phongphan Roach is a Physical Rehabilitation Occupational Therapist in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

2980 Centreville Rd
Herndon, VA 20171-6254
Phone: (703) 994-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 0131001567 (VA)

Record details

NPI number1326558925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 9, 2017
Mailing address1912 Villaridge Dr Unit B, Reston, VA 20191-4830

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