Samuel Kibrom, PT
NPI 1063666337 · Physical Therapist · Raleigh, NC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Kibrom, PT is a Physical Therapist provider in Raleigh, NC (NPI 1063666337).
Provider details
- NPI number
- 1063666337
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- P12143 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2012-05-14
Frequently asked questions
- What is Samuel Kibrom's NPI number?
- Samuel Kibrom's National Provider Identifier (NPI) is 1063666337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Kibrom's specialty?
- Samuel Kibrom is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Samuel Kibrom located?
- Samuel Kibrom's practice location on file with NPPES is 11200 Governor Manly Way, Raleigh, NC 27614-8599.
- What is Samuel Kibrom's phone number?
- The practice phone number listed in the NPPES registry for Samuel Kibrom is (919) 562-9410.
- Does Samuel Kibrom accept Medicare?
- Samuel Kibrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Kibrom's NPI active?
- Yes — Samuel Kibrom's NPI (1063666337) is active in the NPPES registry as of the last update on 2012-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.