Individual provider Active NPI

Emily Jones Kinabrew, DPT

  • Physical Therapist
  • Fort Liberty, NC
National Provider Identifier
1184085953
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
BLDG X-4047
Fort Liberty, NC 28310-9424
Phone
(910) 908-5846
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X NC Primary

Addresses

Primary practice location

BLDG X-4047
Fort Liberty, NC 28310-9424

Mailing address

BLDG X-4047
Fort Liberty, NC 28310-0001

Other practice location 1

1562 Highway 24/87
Cameron, NC 28326-9424
Phone (910) 436-4545

Other practice location 2

1147 Highway 231 S Ste 9
Troy, AL 36081
Phone (334) 465-8000

Other practice location 3

1147 Highway 231 S Ste 9
Troy, AL 36081
Phone (334) 465-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624001464 TN Practitioner - Physical Therapist in Private Practice 8325391766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1492 Tiny Town Rd
Suite A1
Clarksville, TN 37042-7874
Phone (615) 370-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11864TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince May 27, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince May 27, 2025 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Interoperability endpoints

  • Direct secure messaging: emily.kinabrew.1@25094.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1184085953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG X-4047",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG X-4047",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283109424",
            "telephone_number": "910-908-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1562 Highway 24/87",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283269424",
            "country_code": "US",
            "telephone_number": "910-436-4545",
            "fax_number": "910-497-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 Highway 231 S Ste 9",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "36081",
            "country_code": "US",
            "telephone_number": "334-465-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 Highway 231 S Ste 9",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "36081",
            "country_code": "US",
            "telephone_number": "334-465-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINABREW",
        "first_name": "EMILY",
        "middle_name": "JONES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.