Active NPI
James Smith Kilbreath II, DPT
- Physical Therapist
- Amelia Court House, VA
National Provider Identifier
1871840736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207456
- Practice address
- 10130 Superior Way
Amelia Court House, VA 23002-4744 - Phone
- (804) 561-1585
- Fax
- (804) 561-7430
- NPI assigned
- Aug 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207456 | VA | Primary |
Addresses
Primary practice location
10130 Superior Way
Amelia Court House, VA 23002-4744
Mailing address
10130 Superior Way
Amelia Court House, VA 23002-4744
Phone (804) 561-1585
Other names 1
- Jimmy Kilbreath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10130 Superior Way
Amelia Court House, VA 23002-4744
Phone (804) 561-1585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amelia Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
10130 Superior Way
Amelia Ct Hse, VA 23002
Phone (804) 561-1585
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 and National Provider Directory roles.
-
- Physical Therapist
- Amelia Court House, VA
- NPI 1609838242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1871840736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 SUPERIOR WAY",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024744",
"telephone_number": "804-561-1585",
"fax_number": "804-561-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 SUPERIOR WAY",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024744",
"telephone_number": "804-561-1585",
"fax_number": "804-561-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBREATH",
"first_name": "JAMES",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIMMY",
"last_name": "KILBREATH",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amelia Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.