Individual provider Active NPI

Kimberlie Forbes, PT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1780966911
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19692 Issued in FL
Practice address
84 Pinnacles Dr
BLDG a, Suite 300
Palm Coast, FL 32164-2324
Phone
(386) 437-3535
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 19692 FL Primary

Addresses

Primary practice location

84 Pinnacles Dr
BLDG a, Suite 300
Palm Coast, FL 32164-2324

Mailing address

45 Collingwood LN
Palm Coast, FL 32137-8990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000811 FL Practitioner - Physical Therapist in Private Practice 3072543719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

31 Lupi CT
Suite 150
Palm Coast, FL 32137-4761
Phone (386) 447-0011

733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4226
Phone (386) 756-0077

Merit-based Incentive Payment System (MIPS)

Final score
77.53 of 100Reported as individual
Quality
73.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19692FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Almberg Clinics Inc Current Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients
TPD and DDD LLC Physical Therapist Past Accepting new patients
Performance Physical Therapy & Rehab of Ormond Beach, LLC Physical Therapist Past Accepting new patients

Locations

31 Lupi Ct
Ste 150
Palm Coast, FL 32137
Phone (386) 447-0011

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

Organizations & group practices 5

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1780966911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLLINGWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINNACLES DR",
            "address_2": "BLDG A, SUITE 300",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642324",
            "telephone_number": "386-437-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "KIMBERLIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.