Kimberly Widrick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P6922 Issued in NC

Practice address

1135 Carthage St
Sanford, NC 27330-4162

Phone

(919) 774-2255

Fax

(919) 774-2398

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1316871585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2255",
            "fax_number": "919-774-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2255",
            "fax_number": "919-774-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDRICK",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Whitaker, CCC-SLP
• Miles Warren Whitaker, MD
• Keisha Whitt, PHARM.D.
• Porshia Sade Wicker, CCC-SLP
• William T Wicker, SW
• Nicholas Alan Wiley
• Patricia Wiley, LPCA
• Kennedy Wilkins
• William E. Hall MD, P.a.
• Sandra Williams Johnson, LCASA AND LCSWA

• Physical Therapist in Sanford, NC
• Providers in Sanford, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.