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

Soyeon Ahn

Individual provider Occupational Therapist · NPI 1710391396

Soyeon Ahn is an Occupational Therapist in Private Practice in Fairfax, Virginia. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2014

Practice location Address checks out

9685 Main St Ste C
Fairfax, VA 22031-3752
Phone: (571) 206-1453
Fax: (571) 486-4531
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119005759 (VA)

Record details

NPI number1710391396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025
Mailing address12301 Fox Lake Ct, Fairfax, VA 22033-2863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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