Healthcare Provider Details

I. General information

NPI: 1437061991
Provider Name (Legal Business Name): HONR PHYSICAL THERAPY AND PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 BROADVIEW AVE LOWR LEVEL
WARRENTON VA
20186-2046
US

IV. Provider business mailing address

19566 SPRINGFIELD CIR
JEFFERSONTON VA
22724-2269
US

V. Phone/Fax

Practice location:
  • Phone: 719-331-6071
  • Fax:
Mailing address:
  • Phone: 719-331-6071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAITLIN KIEVENAAR LUCAS
Title or Position: OWNER
Credential: PT, DPT, ATC, CSCS
Phone: 719-331-6071