Kinder Dewoolfson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP058958T Issued in IN

Practice address

10504 Wakeman Dr
Fredericksburg, VA 22407-8040

Phone

(540) 315-8249

NPI assigned

May 29, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Move Right Physical Therapy LLCGroup PAC ID 4789098757, 5 clinicians

Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Move Right Physical Therapy LLC

  dba Move Right

  • Physical Therapy Clinic/Center
  • Morgantown, WV
  • NPI 1124667613

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment Care Compare group
• Dynamic Physical Therapy, Inc

  dba Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1205729464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 MIDDLE RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034483",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 WAKEMAN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078040",
            "telephone_number": "540-315-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Middle Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472034483",
            "country_code": "US",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWOOLFSON",
        "first_name": "KINDER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004871",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "CP058958T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP054148T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J Detrane, M.D.
• Randi Lee Dettling, PA-C
• Michael Deutsch, PA
• Eric Alphaeus Devairakkam, DO
• Matthew C Devries, PTA
• Narayan Dharel, MD, PHD
• Pushpinder Dhillon, M.D., F.A.C.O.G
• Rajwant Dhillon
• Rajivkumar Dhingra
• Diabetes and Thyroid Associates PC

• Physical Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.