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

Kyle Pulford

Individual provider Physical Therapist · NPI 1508341587

Kyle Pulford is a Physical Therapist in Private Practice in Alexandria, Virginia. Qualified in 2018, 8 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
8
Licensed in
MA, VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4613 Duke St Ste B
Alexandria, VA 22304-2559
Phone: (703) 751-1052
Fax: (703) 751-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 480 Adams St, Milton, MA 02186-4914 — (619) 696-8141

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 23926 (MA)
Physical Therapist Taxonomy 225100000X · Licence 2305214202 (VA)

Record details

NPI number1508341587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2018
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Alexandria