JOHNNY PHILEBAUM PT, DPT
NPI 1891413480
Physical Therapist in Kings Mountain, NC

Active since August 19, 2022
96.48/100
CMS Quality Rating
110 W KING ST STE 9, KINGS MOUNTAIN, NC 28086(704) 739-5995 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnny Philebaum Pt, Dpt NPPES

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

JOHNNY PHILEBAUM PT, DPT (NPI 1891413480) is an individual physical therapist in Kings Mountain, North Carolina, licensed in North Carolina (P21566) and active in the NPI registry since August 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1891413480
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJOHNNY PHILEBAUMCredential: PT, DPT
Location Address110 W KING ST STE 9Kings Mountain, NC 28086-3437
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224 · (914) 294-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1891413480 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 · P21566
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
110 W KING ST STE 9, Kings Mountain, NC 28086

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Philebaum Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618352337
PECOS Enrollment IDI20220916001197

Medicare Billing Reassignments

4

Medicare enrollment records show Johnny Philebaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
5960 FAIRVIEW RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 245 clinicians in this Medicare group
Physical Therapist
144 SIERRA DR
Hendersonville, NC 28739
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
ERWIN RD
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,503 clinicians in this Medicare group
573 mi
Physical Therapist
1920 W POTOMAC AVE
Chicago, IL 60622
  • Reassigned Medicare billing, North Carolina enrollment
  • 58 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
168 services14 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
130 services12 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
59 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.86
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physical Therapist
110 W KING ST STE 9
KINGS MOUNTAIN, NC 28086
Physical Therapist (Pediatrics)
110 W KING ST STE 9
KINGS MOUNTAIN, NC 28086

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 Johnny Philebaum's NPI number?

The NPI number for Johnny Philebaum is 1891413480. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Johnny Philebaum located?

Johnny Philebaum practices at 110 W King St Ste 9, Kings Mountain, NC 28086. The listed phone number is (704) 739-5995.

What is Johnny Philebaum's specialty?

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

Is Johnny Philebaum enrolled in Medicare?

Yes. Johnny Philebaum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johnny Philebaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Philebaum reassigns Medicare benefits to 4 organizations: Ivyrehab North Carolina LLC (Charlotte, NC), North Carolina Luna Care Physical Therapy LLC (Hendersonville, NC), Duke University Health System, Inc. (Durham, NC) and Prava PC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Philebaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Philebaum was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.