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

Individual provider Physical Therapist · NPI 1699284802

Wyatt Ezara Greene, PT, DPT is a Physical Therapist in Ashburn, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

22556 Amendola Ter Ste 150
Ashburn, VA 20148-2413
Phone: (571) 465-9289
Fax: (571) 465-9297
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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 2305211504 (VA)

Record details

NPI number1699284802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

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