Kimberly-Kay Audra Wynn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203537 Issued in VA

Practice address

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000

Phone

(540) 373-4602

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physical Therapy

  • Physical Therapy Clinic/Center
  • Fredericksburg, VA
  • NPI 1891817938

  Physical Therapist

  Medicare reassignment NPD
• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852

  Physical Therapist

  Medicare reassignment NPD (past)
• Sports Enhancement Physical Therapy

  • Sports Physical Therapist
  • Locust Grove, VA
  • NPI 1508480518
  NPD Authorized official
• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  NPD (past)
• Orthopedic Specialty Clinic LTD

  • Orthopaedic Surgery Physician
  • Fredericksburg, VA
  • NPI 1295766376
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1487277612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 LAKEVIEW PKWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225085726",
            "telephone_number": "540-308-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FALL HILL AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013000",
            "telephone_number": "540-373-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Lakeview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "VA",
            "postal_code": "225085726",
            "country_code": "US",
            "telephone_number": "540-308-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9530 Cosner Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224087760",
            "country_code": "US",
            "telephone_number": "540-361-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Wellford St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013176",
            "country_code": "US",
            "telephone_number": "540-361-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541752",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Spotsylvania Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079433",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "KIMBERLY-KAY",
        "middle_name": "AUDRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melville Garland Wright III, MD
• Syreeta Wright, LPC
• Tonya Marie Wright, PHARMD
• WSSH Powerback Rehabilitation Services, LLC
• Wychock Construction
• Sarah Elizabeth Wynn, PHARM. D., R.PH.
• Elvis Xhaferi, M.D.
• Yamsol LLC
• Kymmollotkis Alicia Yancey
• Annie H Yang, M.D.

• 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 Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.