NPPES file of Aug 9, 2026

Samuel A. Kibrom, PT

Physical Therapist · Raleigh, NC

Samuel A. Kibrom, PT is a physical therapist with a practice address in Raleigh, North Carolina, and NPI 1063666337, issued on Nov 12, 2008. Check the license (North Carolina P12143, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063666337
Name
Samuel A. Kibrom
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License number
P12143 NC
Self-reported in NPPES; status is on the state search
Practice location
11200 Governor Manly Way, Raleigh, NC 27614
Phone
(919) 562-9410
Enumerated
Nov 12, 2008
Record last updated
May 14, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120409000321); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11200 Governor Manly Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Michael AblanPrevention Professional1356881528
  2. Roger Anderson, MDRadiation Oncology Physician1528096591
  3. Taylor Beavers, LAT, ATCAthletic Trainer1124579008
  4. Kourtney Bowyer, ATCAthletic Trainer1285069567
  5. Derrick Bridges, ATC,LATAthletic Trainer1003257411
  6. Crystal Casto, LAT, ATCAthletic Trainer1891039137

Verify Samuel A. Kibrom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
    Search for license P12143
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Care First Physical Therapy And Rehab LLCCary, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Samuel A. Kibrom among 8,640 physical therapist records in North Carolina

Samuel A. Kibrom, PT is one of 8,640 physical therapist records with a practice address in North Carolina. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 23% of them.

  • NPI issued2008 · 23% of these records are older, 73% newer
  • In a Medicare fileYes · 36% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated2000 · median 2017 among the 3,140 with a school on file
  • Record last updated2012 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

660 physical therapist records list a practice address in Raleigh

They are 660 of the 16,309 NPPES records with a practice address in Raleigh, and 8,640 physical therapist records in North Carolina.

The 8 physical therapist records with the nearest ZIP codes

  1. Ma Farida Adoro, DPTRaleigh, NC 276141720161466
  2. Sarah Bauman, PTRaleigh, NC 276141053625038
  3. Courtney Belt, DPTRaleigh, NC 276141558673491
  4. Pamela Brisson, MPTRaleigh, NC 276141427348101
  5. Clarissa Bulatek, D.P.T.Raleigh, NC 276141154506772
  6. Murray Cooper, P.T.Raleigh, NC 276141134281579
  7. Jessica Holmes, DPTRaleigh, NC 276141063512168
  8. Katie Marakas, DPTRaleigh, NC 276141790018737

Common questions

What is Samuel A. Kibrom, PT's NPI number?

Samuel A. Kibrom, PT's National Provider Identifier (NPI) is 1063666337, issued on Nov 12, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Samuel A. Kibrom, PT located?

The NPPES record lists a practice address at 11200 Governor Manly Way, Raleigh, NC, 27614. Phone: (919) 562-9410. Providers update this record themselves, so call before visiting.

How can I verify Samuel A. Kibrom, PT's license?

NPPES lists North Carolina license number P12143, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.