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

Kimberly Akiye Michiko Ito, DPT

Individual provider Physical Therapist · NPI 1558108175

Kimberly Akiye Michiko Ito, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2024, 2 years ago. Practices with Inner Coastal Plain - PT, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina and Ohio.

Years since qualifying
2
Licensed in
NC, OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

150 Francam Dr # 124
Fayetteville, NC 28311-4500
Phone: (910) 229-3924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT021240 (OH)
Physical Therapist Taxonomy 225100000X · Licence P-CP032402T (NC)

Record details

NPI number1558108175
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 11, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Inner Coastal Plain - Pt, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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