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

Mrs. Kimberly M Carroll, PT

Individual provider Athletic Trainer · NPI 1407181191

Mrs. Kimberly M Carroll, PT is an Athletic Trainer in Fernandina Beach, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

120 N 2nd St Ste A
Fernandina Beach, FL 32034-4192
Phone: (904) 761-8397
Fax: (949) 404-6217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 961687 Gateway Blvd Ste 101a, Fernandina Beach, FL 32034-9158 — (904) 491-4980

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT26306 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence AL2978 (FL)

Record details

NPI number1407181191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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