Healthcare Provider Details

I. General information

NPI: 1982597787
Provider Name (Legal Business Name): KYRA SKURCENSKI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5712 CLEVELAND ST STE 200
VIRGINIA BEACH VA
23462-1780
US

IV. Provider business mailing address

513 SALT AIRE CT
VIRGINIA BEACH VA
23451-5558
US

V. Phone/Fax

Practice location:
  • Phone: 757-961-7271
  • Fax:
Mailing address:
  • Phone: 717-480-0946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217165
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: