SAMUEL A KIBROM PT
NPI 1063666337
Physical Therapist in Raleigh, NC

Active since November 12, 2008Accepts Medicare Assignment
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614(919) 562-9410 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel A Kibrom Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL A KIBROM PT (NPI 1063666337) is an individual physical therapist in Raleigh, North Carolina, licensed in North Carolina (P12143) and active in the NPI registry since November 2008. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1063666337
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL A KIBROMCredential: PT
Location Address11200 GOVERNOR MANLY WAY, SUITE 309Raleigh, NC 27614-8599
Mailing Address11200 Governor Manly Way, Suite 309Raleigh, NC 27614-8599 · (919) 562-9410
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 12, 2008
Last NPPES UpdateMay 14, 2012
NPI 1063666337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · P12143
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

11200 GOVERNOR MANLY WAY, Raleigh, NC 27614

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel A Kibrom Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133380769
PECOS Enrollment IDI20120409000321

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Family Medicine
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Family Medicine
11200 GOVERNOR MANLY WAY, SUITE 205
RALEIGH, NC 27614
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, UNIT 309
RALEIGH, NC 27614
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kibrom's NPI number?

The NPI number for Samuel Kibrom is 1063666337. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Samuel Kibrom located?

Samuel Kibrom practices at 11200 Governor Manly Way Suite 309, Raleigh, NC 27614. The listed phone number is (919) 562-9410.

What is Samuel Kibrom's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Kibrom enrolled in Medicare?

Yes. Samuel Kibrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Kibrom accept?

Health plans from Blue Cross and Blue Shield of NC list Samuel Kibrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Kibrom was last updated on May 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.