Active NPI
Ella Grace Roberts, PT
- Physical Medicine & Rehabilitation Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2305217090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305217090 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab 2 Perform LLC | Current | Accepting new patients | |
| Rehab 2 Perform LLC | Current | 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.
-
- Physical Therapist
- Columbia, MD
- NPI 1295618692
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.