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MR. MITRO DARREN ROMAN STUDENT PTA
NPI 1164004776
Student in an Organized Health Care Education/Training Program in Arlington, VA

Active since April 22, 2021
4040 FAIRFAX DR STE 120, ARLINGTON, VA 22203(571) 359-9730 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mitro Darren Roman Student Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MITRO DARREN ROMAN STUDENT PTA (NPI 1164004776) is an individual student in an organized health care education/training program in Arlington, Virginia and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1164004776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MITRO DARREN ROMANCredential: STUDENT PTA
Location Address4040 FAIRFAX DR STE 120Arlington, VA 22203-1613
Mailing Address4704 Federal CtAnnandale, VA 22003-4428 · (571) 359-9730
Phone(571) 359-9730
Sole ProprietorYes
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1164004776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4040 FAIRFAX DR STE 120, Arlington, VA 22203
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOCHEATHDARA SAM
Physical Therapy Assistant
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (571) 777-0918
MRS. JANE ELIZABETH UEMURA
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
VICTORIA BENAVENTE PT
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (571) 877-6028
AHMAD MUTAWAK
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
ELIZABETH WHITE ROTHERMEL MSPT
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
SARA JULIET WASH
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
DR. STEVEN RICHARD MCFETRIDGE II PT, DPT, CSCS
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
SARA NICOLE MCKEEMAN PT, DPT, NCS
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitro Roman's NPI number?

The NPI number for Mitro Roman is 1164004776. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Mitro Roman located?

Mitro Roman practices at 4040 Fairfax Dr Ste 120, Arlington, VA 22203. The listed phone number is (571) 359-9730.

What is Mitro Roman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitro Roman was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.