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SPORTS ENHANCEMENT PHYSICAL THERAPY NPI 1508480518


NPI Information

NPI: 1508480518
Provider Name: SPORTS ENHANCEMENT PHYSICAL THERAPY
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
2607 LAKEVIEW PKWY
LOCUST GROVE, VA
ZIP 22508
Phone: (540) 308-3357
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SPORTS ENHANCEMENT PHYSICAL THERAPY is a sports physical therapist in Locust Grove, VA. The provider is 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. SPORTS ENHANCEMENT PHYSICAL THERAPY NPI is 1508480518. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2607 LAKEVIEW PKWY
LOCUST GROVE, VA
ZIP 22508-726
Phone: (540) 308-3357

The provider's authorized official is Kimberly-kay Audra Wynn .
The authorized official title is Owner and has the following contact phone number (540) 308-3358.

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
22251X0800XPhysical TherapistOrthopedicNo
32251S0007XPhysical TherapistSportsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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