Individual provider Active NPI

Ella Grace Roberts, PT

  • Physical Medicine & Rehabilitation Physician
  • Reston, VA
National Provider Identifier
1316826860
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2305217090 Issued in VA
Practice address
11507 Sunset Hills Rd
Reston, VA 20190-4704
Phone
(301) 978-4838
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305217090 VA Primary

Addresses

Primary practice location

11507 Sunset Hills Rd
Reston, VA 20190-4704

Mailing address

612 N Kenmore St
Arlington, VA 22201-2221
Phone (303) 945-9473

Other practice location 1

1850 Town Center Pkwy
Reston, VA 20190-3298
Phone (703) 949-9650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251029004947 DC Practitioner - Physical Therapist in Private Practice 2466941455 Reassigns benefits to 1 organization
I20260327001612 VA Practitioner - Physical Therapist in Private Practice 2466941455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

11507 Sunset Hills Rd
Reston, VA 20190-4704
Phone (301) 798-4838

38 Catoctin Cir SE
Suite 38C
Leesburg, VA 20175-3628
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305217090VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC CurrentSince Oct 6, 2025 Accepting new patients
Rehab 2 Perform LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

20310 Seneca Meadows Pkwy
#B
Germantown, MD 20876
Phone 3017984838 ext. 2

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

38 Catoctin Cir SE
Ste 38C
Leesburg, VA 20175
Phone (301) 450-7560

38 Catoctin Cir SE
Ste C
Leesburg, VA 20175

11507 Sunset Hills Rd
Reston, VA 20190
Phone (301) 900-5743

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1316826860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N KENMORE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012221",
            "telephone_number": "303-945-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904704",
            "telephone_number": "301-978-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903298",
            "country_code": "US",
            "telephone_number": "703-949-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELLA",
        "middle_name": "GRACE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305217090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.