Kisha Lashelle Gwyn
Kisha Lashelle Gwyn is a Physical Therapist in Private Practice in Knightdale, North Carolina. Qualified in 2025, 1 year ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group and accepts Medicare assignment. Licensed in Arizona and North Carolina.
- Years since qualifying
- 1
- Licensed in
- AZ, NC
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
6905 Knightdale Blvd Ste 102Knightdale, NC 27545-6506
Phone: (570) 550-0168
Fax: (410) 648-4878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence P24554 (NC) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence CP052090T (AZ) |
Record details
| NPI number | 1811852080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 19, 2025 |
| Last updated in NPPES | January 21, 2026 |
| Certification date | January 21, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Activcare Physical Therapy, Llc — 127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Knightdale
-
Peter Friesen, DPT
4005 Village Park Dr, Knightdale, NC 27545-7044 · (919) 217-0113
-
Michelle Marie Ramirez, PT
162 Legacy Oaks Dr Ste 2102, Knightdale, NC 27545-6556 · (919) 373-1799