Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jibran Qayumi, DPT

Individual provider Physical Therapist · NPI 1043748957

Dr. Jibran Qayumi, DPT is a Physical Therapist in Private Practice in Holly Springs, North Carolina. Qualified in 2021, 5 years ago. Practices with Mediq Physical Therapy, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

204 Matthews Dr
Holly Springs, NC 27540
Phone: (919) 578-4200
Fax: (919) 578-9922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5716 W Gate City Blvd, Greensboro, NC 27407-7039 — (336) 600-9930

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P17194 (NC)

Record details

NPI number1043748957
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 23, 2017
Last updated in NPPESAugust 10, 2025
Certification dateAugust 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mediq Physical Therapy — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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