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

Individual provider Physical Therapy Assistant · NPI 1619588167

Kimberly Dawn Phomsopha, PTA is a Physical Therapy Assistant in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

44124 Woodridge Pkwy
Leesburg, VA 20176-6935
Phone: (703) 729-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306603910 (VA)

Record details

NPI number1619588167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

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