Individual provider Active NPI

Kimberly Renee Adkinson, PT

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1124769542
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006463L Issued in PA
Practice address
1 Longsdorf Way
Carlisle, PA 17015-7623
Phone
(717) 240-6013
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006463L PA Primary

Addresses

Primary practice location

1 Longsdorf Way
Carlisle, PA 17015-7623

Mailing address

2601 Shingus Cir
Mechanicsburg, PA 17055-6094
Phone (717) 433-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902000793 PA Practitioner - Physical Therapist in Private Practice 5698276566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

1000 Alexandra LN
Harrisburg, PA 17110-3662
Phone (484) 266-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab1 LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients

Locations

103 N Larkspur Dr
Palmyra, PA 17078
Phone (717) 832-2900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1124769542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SHINGUS CIR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556094",
            "telephone_number": "717-433-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGSDORF WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157623",
            "telephone_number": "717-240-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINSON",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006463L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.