Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sports Enhancement Physical Therapy

Organization Physical Therapist · NPI 1508480518

Sports Enhancement Physical Therapy is a Physical Therapist in Locust Grove, Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

2607 Lakeview Pkwy
Locust Grove, VA 22508-5726
Phone: (540) 308-3357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X
Physical Therapist Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1508480518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly-Kay Wynn — Owner · (540) 308-3358
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address2607 Lakeview Pkwy, Locust Grove, VA 22508-5726

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