Active NPI
Kimberly Briggs Mann, PT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2413
- Practice address
- 5920 Sandy Forks Rd Ste 200
Raleigh, NC 27609-3814 - Phone
- (919) 954-3492
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2413 | NC | Primary |
Addresses
Primary practice location
5920 Sandy Forks Rd Ste 200
Raleigh, NC 27609-3814
Mailing address
5213 Bridget Dr
Raleigh, NC 27603-9335
Phone (919) 210-1754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2413 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070
5920 Sandy Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 954-3174
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1003146192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 BRIDGET DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039335",
"telephone_number": "919-210-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 SANDY FORKS RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093814",
"telephone_number": "919-954-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "KIMBERLY",
"middle_name": "BRIGGS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.