Individual provider Active NPI

Kimberley Nicole Wilkins, DPT, PT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1366100349
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12521 Issued in SC
Practice address
400 Tower Rd NE Ste 140
Marietta, GA 30060-9412
Phone
(770) 419-9437
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017387 GA
Physical Therapist 225100000X 12521 SC Primary
Physical Therapist 225100000X PT37589 FL
Physical Therapist 225100000X
Physical Therapist 225100000X P23363 NC
Physical Therapist 225100000X 2305216553 VA

Addresses

Primary practice location

400 Tower Rd NE Ste 140
Marietta, GA 30060-9412

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

809 Good Homes Rd
Orlando, FL 32818-6628
Phone (407) 293-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, NC, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240822001082 VA Practitioner - Physical Therapist in Private Practice 1759772627 Reassigns benefits to 3 organizations
I20241008003921 SC Practitioner - Physical Therapist in Private Practice 1759772627 Reassigns benefits to 3 organizations
I20241022000623 NC Practitioner - Physical Therapist in Private Practice 1759772627 Reassigns benefits to 4 organizations
I20241205001552 GA Practitioner - Physical Therapist in Private Practice 1759772627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

400 Tower Rd NE
Suite 140
Marietta, GA 30060-9412
Phone (770) 419-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37589FLMDPhysical Therapist
PT017387GAMDPhysical Therapist
P23363NCMDPhysical Therapist
12521SCMDPhysical Therapist
2305216553VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Sep 11, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist PastSince Jul 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

16139 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 540-6930

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1366100349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWER RD NE STE 140",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609412",
            "telephone_number": "770-419-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Good Homes Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328186628",
            "country_code": "US",
            "telephone_number": "407-293-3156",
            "fax_number": "407-293-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "KIMBERLEY",
        "middle_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017387",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12521",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37589",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23363",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.