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SPORTS ENHANCEMENT PHYSICAL THERAPY
NPI 1508480518
Physical Therapist - Sports in Locust Grove, VA

Active since June 04, 2020
2607 LAKEVIEW PKWY, LOCUST GROVE, VA 22508(540) 308-3357 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports Enhancement Physical Therapy NPPES

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

SPORTS ENHANCEMENT PHYSICAL THERAPY (NPI 1508480518) is a healthcare organization registered as a sports in Locust Grove, Virginia and active in the NPI registry since June 2020. The organization lists Kimberly-kay Audra Wynn, Owner, as its authorized official.

NPPES Registry Identity

NPI1508480518
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameSPORTS ENHANCEMENT PHYSICAL THERAPY
Location Address2607 LAKEVIEW PKWYLocust Grove, VA 22508-5726
Mailing Address2607 Lakeview PkwyLocust Grove, VA 22508-5726 · (540) 308-3358
Phone(540) 308-3357
Organization SubpartNo
Authorized OfficialKimberly-kay Audra WynnOwner · (540) 308-3358
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1508480518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
2607 LAKEVIEW PKWY, Locust Grove, VA 22508
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Sports Enhancement Physical Therapy's NPI number?

The NPI number for Sports Enhancement Physical Therapy is 1508480518. It was assigned to this organization in the NPPES registry on June 4, 2020.

Where is Sports Enhancement Physical Therapy located?

Sports Enhancement Physical Therapy is located at 2607 Lakeview Pkwy, Locust Grove, VA 22508. The listed phone number is (540) 308-3357.

What is Sports Enhancement Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Sports Enhancement Physical Therapy was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.