Kimawa Kay Porter, PT, DPT, OMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011476 Issued in MI

Practice address

4466 W Bristol Rd
Flint, MI 48507-3170

Phone

(810) 285-8523

Fax

(810) 820-9582

NPI assigned

Apr 30, 2007

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

Other names 1

• Dr. Kimawa Kay Gubbins Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimawa.porter.1@33541.direct.athenahealth.com

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.

• Family Orthopedic Associates P L C

  dba OrthoMichigan/OrthoMichigan NOW/OrthoMichigan Therapy Services

  • Orthopaedic Surgery Physician
  • Flint, MI
  • NPI 1215930490

  Physical Therapist

  Medicare reassignment NPD
• Family Orthopedic Associates P L C

  dba OrthoMichigan Therapy Services

  • Physical Therapist
  • Flint, MI
  • NPI 1326436817
  NPD
• Boike Medical Services PLLC

  • Neurology Physician
  • Flint, MI
  • NPI 1467645317
  NPD (past)
• Genesys Regional Medical Center

  dba Genesys Therapy Services

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1972643146
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1962622084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-285-8523",
            "fax_number": "810-820-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-285-8523",
            "fax_number": "810-820-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KIMAWA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMAWA",
            "last_name": "GUBBINS",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "PT, DPT, OMPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Petru Pop
• Sondreia Pope
• Koyona Poplar, RN
• Rachel Racine Porcaro, OTR
• Samara Porcaro, LPN
• Parris Porter
• Rebecca Porter, LMSW
• Porters Headspace
• Ladalia Ann Postell, MSW
• Lisa Lyn Poston

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.