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

Samuel A Kibrom, PT

Individual provider Physical Therapist · NPI 1063666337

Samuel A Kibrom, PT is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2000, 26 years ago. Practices with Care First Physical Therapy and Rehab LLC, a 17-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2008
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

11200 Governor Manly Way Ste 309
Raleigh, NC 27614-8599
Phone: (919) 562-9410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P12143 (NC)

Record details

NPI number1063666337
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESMay 14, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Care First Physical Therapy And Rehab Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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