Sports Enhancement Physical Therapy

LBN: Sports Enhancement Physical Therapy
Sports Enhancement Physical Therapy is an health care organization with primary practice located at 2607 Lakeview Pkwy , Locust Grove VA 22508-5726. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is the primary health care specialty. Sports Enhancement Physical Therapy can be contacted via phone (540) 308-3357, or through Wynn, Kimberly-Kay Audra via phone (540) 308-3358.

Contact Information

Primary practice address
2607 Lakeview Pkwy Locust Grove VA 22508-5726
Phone: (540) 308-3357
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wynn, Kimberly-Kay Audra Physical Therapist (PT)
Phone: (540) 308-3358

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1508480518
LBN Legal business name Sports Enhancement Physical Therapy
DBA Doing business as
Authorized official Wynn, Kimberly-Kay Audra Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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