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

Kyle Ethan Shope

Individual provider Physical Therapist · NPI 1063236966

Kyle Ethan Shope is a Physical Therapist in Private Practice in Henrico, Virginia. Qualified in 2024, 2 years ago. Practices with Progress Rehabilitation Network LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

3001 Hungary Spring Rd Ste D
Henrico, VA 23228-2428
Phone: (804) 756-8490
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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 2305216827 (VA)

Record details

NPI number1063236966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024
Mailing address3001 Hungary Spring Rd Ste D, Henrico, VA 23228-2428

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Progress Rehabilitation Network Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Henrico